go back

South Dakota rates for HCPCS 26490

Opponensplasty Supfcis Tdn Tr Typ Ea Tdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.76 / $859.76 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.82 / $859.76 / $1,981.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.71 / $1,915.81 / $2,394.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.90 / $1,388.67 / $2,037.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.84 / $1,617.76 / $6,232.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.97 / $2,065.06 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.97 / $1,619.59 / $2,272.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.82 / $1,331.99 / $1,646.36
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
$777.50 / $1,443.56 / $2,245.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.30 / $1,998.30 / $1,998.30