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South Dakota rates for HCPCS 28088

Synovectomy Tendon Sheath Foot Extensor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.02 / $473.50 / $473.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.40 / $675.92 / $1,095.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.73 / $1,009.46 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.52 / $584.15 / $897.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00