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South Dakota rates for HCPCS 28202

Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.96 / $614.22 / $614.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.49 / $866.02 / $1,404.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.06 / $1,314.41 / $11,119.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.22 / $850.67 / $1,168.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00