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South Dakota rates for HCPCS 28054

Arthrotomy with biopsy; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.29 / $377.71 / $377.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.80 / $317.04 / $669.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.14 / $686.58 / $1,063.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.73 / $535.79 / $868.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.89 / $879.30 / $2,741.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.84 / $855.73 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.20 / $624.52 / $973.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.81 / $478.46 / $707.71
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
$400.41 / $687.49 / $1,069.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.10 / $563.00 / $859.00