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South Dakota rates for HCPCS 28050

Arthrt W/Bx Intertarsal/Tarsometatarsal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.47 / $427.52 / $427.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.19 / $359.24 / $794.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.60 / $815.13 / $1,205.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.61 / $607.12 / $995.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.95 / $1,010.48 / $3,117.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.75 / $953.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.60 / $744.61 / $1,102.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.92 / $595.54 / $805.32
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
$479.31 / $777.28 / $1,209.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.79 / $669.00 / $976.00