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South Dakota rates for HCPCS 28052

Arthrtomy W/Bx Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.64 / $400.49 / $400.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $336.64 / $821.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.04 / $746.96 / $1,126.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.88 / $568.91 / $991.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.80 / $1,028.51 / $2,917.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.77 / $913.47 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.96 / $685.92 / $1,035.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.78 / $553.55 / $750.40
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
$494.56 / $899.20 / $1,268.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.90 / $611.70 / $910.80