go back

South Dakota rates for HCPCS 28116

Ostectomy Tarsal Coalition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.65 / $795.32 / $795.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.35 / $1,067.31 / $1,798.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.83 / $1,558.24 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.57 / $1,024.69 / $1,322.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00