go back

South Dakota rates for HCPCS 28047

Rad Resection Tumor Soft Tissue Foot/Toe 3 Cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.11 / $1,016.11 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.08 / $1,016.11 / $1,628.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.33 / $2,324.06 / $2,905.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.81 / $1,597.51 / $2,839.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.65 / $2,187.46 / $7,691.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.85 / $2,375.81 / $2,896.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.78 / $2,291.11 / $2,755.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.19 / $1,786.18 / $2,036.44
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
$1,145.82 / $1,785.05 / $2,877.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.20 / $2,471.80 / $2,471.80