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South Dakota rates for HCPCS 28086

Synovectomy Tendon Sheath Foot Flexor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.67 / $545.11 / $1,612.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.63 / $506.87 / $839.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.77 / $1,004.07 / $1,493.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.17 / $793.48 / $1,232.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.36 / $1,257.42 / $3,894.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.55 / $1,130.27 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.94 / $951.19 / $1,424.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.20 / $687.01 / $1,004.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$202.43 / $202.43 / $202.43
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
$514.89 / $978.91 / $1,522.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.50 / $833.90 / $1,219.40