go back

South Dakota rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.50 / $495.69 / $2,463.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.29 / $458.76 / $789.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.62 / $910.57 / $1,392.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.51 / $701.05 / $1,136.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.95 / $1,136.92 / $3,590.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.74 / $1,089.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.62 / $827.84 / $1,285.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.81 / $623.66 / $932.83
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
$442.07 / $893.07 / $1,389.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.40 / $753.00 / $1,132.30