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South Dakota rates for HCPCS 26750

Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.98 / $198.76 / $278.77
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$147.74 / $147.74 / $149.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $176.76 / $327.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.01 / $463.51 / $579.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.27 / $302.45 / $474.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.12 / $421.07 / $1,469.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $421.07 / $496.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.00 / $418.66 / $521.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.88 / $331.59 / $394.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.23 / $362.24 / $515.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $473.50 / $479.00