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South Dakota rates for HCPCS 26358

Rpr/Advmnt Flxr Tdn Zone 2 W/Fr Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.36 / $985.36 / $985.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.09 / $985.36 / $2,354.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.50 / $2,234.46 / $2,793.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.41 / $1,665.26 / $2,307.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.51 / $2,017.09 / $7,302.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.88 / $2,420.86 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.88 / $2,120.52 / $2,660.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.09 / $1,495.40 / $1,947.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.57 / $1,921.04 / $2,706.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.30 / $2,364.19 / $2,364.19