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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
$281.84 / $426.58 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $645.65 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $870.96 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $977.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $977.24