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South Dakota rates for HCPCS 26863

Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.68 / $220.68 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.62 / $220.68 / $454.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.45 / $493.95 / $617.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.32 / $372.95 / $607.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.38 / $473.36 / $1,662.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.78 / $517.91 / $1,089.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.78 / $491.01 / $604.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.02 / $383.51 / $439.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.95 / $398.02 / $619.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.70 / $533.20 / $533.20