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South Dakota rates for HCPCS 28208

Repair Tendon Extensor Foot 1/2 Each Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.57 / $500.14 / $500.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.54 / $431.63 / $790.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.83 / $929.08 / $1,391.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.95 / $704.76 / $1,142.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.90 / $1,118.96 / $3,608.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.70 / $1,089.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.76 / $846.97 / $1,269.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.65 / $633.96 / $934.12
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
$426.40 / $895.62 / $1,371.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.90 / $769.50 / $1,133.80