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South Dakota rates for HCPCS 26428

Rpr Xtnsr Tdn Cntrl Slip Sec W/Fr Grft Ea Finger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.02 / $822.02 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.78 / $822.02 / $1,874.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.29 / $1,825.43 / $2,281.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.16 / $1,364.37 / $1,893.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.80 / $1,521.66 / $5,922.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.92 / $1,961.95 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.92 / $1,567.00 / $2,167.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.44 / $1,227.58 / $1,559.68
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
$797.06 / $1,521.66 / $2,143.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.30 / $1,893.10 / $1,893.10