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South Dakota rates for HCPCS 28111

Ostectomy Complete 1st Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $488.46 / $488.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.32 / $694.91 / $1,117.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.04 / $1,089.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.31 / $628.14 / $916.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00