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South Dakota rates for HCPCS 26775

Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.79 / $412.25 / $412.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.45 / $412.25 / $697.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.18 / $946.61 / $1,183.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.60 / $617.15 / $896.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.10 / $872.57 / $3,029.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $805.61 / $1,021.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $786.48 / $1,021.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.60 / $632.41 / $806.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.12 / $689.67 / $1,072.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.50 / $877.90 / $978.40