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South Dakota rates for HCPCS 28010

Tenotomy Percutaneous Toe Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.14 / $239.53 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.28 / $222.23 / $501.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.44 / $550.75 / $688.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.83 / $373.44 / $616.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.40 / $544.26 / $2,363.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.77 / $488.46 / $610.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $488.46 / $619.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.25 / $386.99 / $461.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $3,200.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.64 / $423.50 / $658.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.10 / $501.70 / $560.60