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South Dakota rates for HCPCS 28113

Ostectomy, complete excision; fifth metatarsal head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $602.56 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,202.26 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $954.99 / $1,348.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,380.38