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South Dakota rates for HCPCS 26580

Repair Cleft Hand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.56 / $1,543.56 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.90 / $1,543.56 / $3,652.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.14 / $3,461.54 / $4,326.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.38 / $2,347.06 / $3,878.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.30 / $3,052.29 / $11,374.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.14 / $3,380.03 / $4,067.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.14 / $3,131.20 / $4,162.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.19 / $2,547.78 / $3,020.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.25 / $2,683.48 / $4,174.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,996.30 / $3,666.10 / $3,666.10