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South Dakota rates for HCPCS 28208

Repair, tendon, extensor, foot; primary or secondary, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $501.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $977.24 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $707.95 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,318.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,122.02