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South Dakota rates for HCPCS 28116

Ostectomy, excision of tarsal coalition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,548.13 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53