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South Dakota rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.73 / $600.54 / $600.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.36 / $503.70 / $927.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.14 / $1,249.48 / $1,696.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.46 / $817.39 / $1,380.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.90 / $1,376.37 / $4,369.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.40 / $1,278.74 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $1,121.61 / $1,550.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.64 / $846.79 / $1,136.59
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
$519.66 / $1,111.10 / $1,673.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.10 / $1,027.80 / $1,379.60