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South Dakota rates for HCPCS 28150

Phalangectomy Toe Each Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.73 / $429.62 / $429.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.45 / $382.55 / $662.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.16 / $813.19 / $1,207.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.46 / $608.94 / $987.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.10 / $989.63 / $3,122.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.03 / $973.31 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.16 / $745.81 / $1,107.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.37 / $553.10 / $808.63
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
$372.72 / $771.62 / $1,200.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.70 / $671.30 / $981.50