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South Dakota rates for HCPCS 28153

Resection Condyle Distal End Phalanx Each Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.57 / $417.60 / $4,008.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.52 / $349.57 / $641.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.44 / $782.66 / $1,166.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.83 / $590.77 / $957.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $965.72 / $3,021.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.54 / $942.39 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.44 / $701.25 / $1,082.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.84 / $522.97 / $777.57
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
$365.66 / $774.84 / $1,180.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.60 / $632.10 / $943.80