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South Dakota rates for HCPCS 28193

Removal Foreign Body Foot Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.08 / $534.67 / $534.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.04 / $447.85 / $828.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.89 / $1,057.63 / $1,501.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.63 / $756.87 / $1,227.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.50 / $1,246.05 / $3,894.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.57 / $1,131.73 / $1,664.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.26 / $966.14 / $1,305.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.91 / $718.06 / $1,005.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.42 / $970.43 / $1,509.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.30 / $871.60 / $1,221.00