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South Dakota rates for HCPCS 28005

Incision Bone Cortex Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.45 / $577.45 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.24 / $602.57 / $916.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.47 / $1,316.68 / $1,645.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.91 / $975.89 / $1,552.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.41 / $1,209.75 / $4,399.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.99 / $1,435.27 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.27 / $1,263.47 / $1,527.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.57 / $967.77 / $1,123.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.41 / $1,044.00 / $1,624.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.09 / $1,363.10 / $1,363.10