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South Dakota rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.74 / $727.74 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.49 / $727.74 / $1,734.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.83 / $1,657.15 / $2,071.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.59 / $1,185.88 / $2,058.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.38 / $1,595.37 / $5,501.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.34 / $1,829.50 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.34 / $1,586.46 / $1,928.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.28 / $1,241.47 / $1,415.42
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
$835.67 / $1,336.09 / $2,078.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.10 / $1,718.00 / $1,718.00