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South Dakota rates for HCPCS 28106

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.79 / $430.79 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.92 / $430.79 / $1,034.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.90 / $987.90 / $1,234.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.29 / $728.04 / $1,157.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.35 / $906.76 / $3,959.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.99 / $1,092.98 / $13,318.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.18 / $943.22 / $1,132.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.60 / $714.81 / $838.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.35 / $778.63 / $1,211.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.70 / $1,017.60 / $1,017.60