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South Dakota rates for HCPCS 26554

Tr Toe-To-Hand W/Mvasc Anast Oth/Thn Grt Toe 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.32 / $3,738.32 / $3,738.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.34 / $3,738.32 / $9,003.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,441.66 / $8,385.45 / $10,481.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,499.60 / $6,264.68 / $8,567.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,557.46 / $6,791.51 / $27,856.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.45 / $8,586.33 / $11,833.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,055.45 / $7,276.61 / $10,236.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,082.27 / $6,133.54 / $7,415.41
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
$3,557.46 / $6,697.55 / $10,418.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,356.40 / $9,000.70 / $9,000.70