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South Dakota rates for HCPCS 28124

Partical Excision Bone Phalanx Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.22 / $488.60 / $488.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.93 / $442.76 / $780.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.37 / $977.77 / $1,382.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.21 / $696.14 / $1,128.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.10 / $1,121.11 / $3,572.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.95 / $843.83 / $1,262.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.37 / $883.38 / $1,262.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.84 / $663.72 / $926.36
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
$428.94 / $878.40 / $1,366.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.40 / $805.60 / $1,124.40