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South Dakota rates for HCPCS 28090

Exc Lesion Tendon Sheath/Capsule W/Synvct Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.07 / $478.46 / $6,903.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.81 / $434.39 / $1,300.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.34 / $897.91 / $1,344.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.98 / $678.69 / $1,100.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.60 / $1,096.33 / $3,477.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.32 / $1,083.65 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.34 / $815.08 / $1,233.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.77 / $611.32 / $901.13
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
$417.00 / $856.39 / $1,332.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.50 / $742.00 / $1,093.80