go back

South Dakota rates for HCPCS 26862

Arthrodesis Iphal Jt W/Wo Int Fixj W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.56 / $790.56 / $790.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,315.04 / $1,852.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,894.99 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.57 / $1,204.58 / $1,504.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$263.42 / $263.42 / $263.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00