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South Dakota rates for HCPCS 26556

Transfer Free Toe Joint W/Mvasc Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,348.33 / $3,348.33 / $3,348.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.34 / $3,348.33 / $8,042.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,691.62 / $7,510.52 / $9,388.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,029.87 / $5,405.16 / $7,358.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,111.05 / $6,895.35 / $24,911.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,087.14 / $7,594.96 / $10,575.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.14 / $6,427.23 / $9,149.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,481.37 / $5,228.10 / $6,628.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,013.32 / $5,975.51 / $9,295.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,576.00 / $8,045.90 / $8,045.90