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South Dakota rates for HCPCS 28175

Radical Resection Tumor Phalanx Or Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.87 / $473.87 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.25 / $473.87 / $1,124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.43 / $1,084.51 / $1,355.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.09 / $787.69 / $1,322.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.96 / $1,031.21 / $3,569.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.75 / $1,185.58 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.21 / $1,036.36 / $1,246.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.49 / $807.98 / $921.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $3,200.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.16 / $908.44 / $1,338.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.90 / $1,118.09 / $1,118.09