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South Dakota rates for HCPCS 28092

Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.27 / $434.55 / $434.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.43 / $397.43 / $666.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.38 / $796.63 / $1,223.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.31 / $616.78 / $999.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.10 / $992.69 / $3,151.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.55 / $982.48 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.38 / $726.60 / $1,111.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.72 / $540.16 / $816.39
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
$381.18 / $777.58 / $1,209.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.90 / $655.60 / $990.90