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South Dakota rates for HCPCS 28107

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.54 / $518.71 / $518.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.26 / $437.40 / $989.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.78 / $1,007.96 / $1,470.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.06 / $739.21 / $1,198.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.00 / $1,210.56 / $3,959.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.98 / $1,106.98 / $8,461.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $923.56 / $1,337.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.27 / $697.26 / $983.93
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
$579.77 / $1,054.11 / $1,463.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.00 / $830.70 / $1,194.30