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South Dakota rates for HCPCS 26553

Tr Toe-To-Hand W/Mvasc Anast Oth/Thn Grt Toe 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.81 / $3,217.81 / $3,217.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,694.84 / $3,217.81 / $7,731.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,540.91 / $7,212.91 / $9,016.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,871.14 / $5,107.10 / $7,317.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.18 / $5,803.92 / $23,941.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,317.47 / $7,357.62 / $10,171.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,317.47 / $6,218.48 / $8,797.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.66 / $5,140.70 / $6,370.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.74 / $5,749.43 / $8,943.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,320.00 / $7,732.60 / $7,732.60