go back

South Dakota rates for HCPCS 28003

Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $389.05 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $630.96 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,412.54 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $977.24 / $1,905.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $870.96