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South Dakota rates for HCPCS 28200

Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.28 / $507.70 / $7,444.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $441.93 / $921.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.47 / $948.55 / $1,427.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.08 / $718.13 / $1,164.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.05 / $1,149.47 / $3,679.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.87 / $1,089.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.04 / $864.28 / $1,309.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.92 / $646.90 / $957.41
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
$436.83 / $903.71 / $1,405.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.79 / $785.20 / $1,162.09