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South Dakota rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.84 / $610.84 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.53 / $610.84 / $1,503.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.63 / $1,439.00 / $1,798.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.46 / $1,030.85 / $1,642.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.26 / $1,333.19 / $4,751.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,544.57 / $10,457.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.63 / $1,319.35 / $1,627.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.65 / $1,035.85 / $1,238.17
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
$698.34 / $1,245.61 / $1,759.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.30 / $1,502.90 / $1,502.90