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South Dakota rates for HCPCS 28022

Arthrt W/Expl Drg/Rmvl Loose/Fb Mttarphlngl Jt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.12 / $499.36 / $9,295.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.81 / $445.22 / $795.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.60 / $951.48 / $1,406.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.06 / $707.74 / $1,147.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.80 / $1,133.01 / $3,629.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.66 / $1,060.40 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.60 / $866.99 / $1,295.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.05 / $647.54 / $942.53
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
$541.38 / $984.32 / $1,387.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.40 / $786.00 / $1,144.00