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South Dakota rates for HCPCS 28111

Ostectomy, complete excision; first metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $489.78 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53