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South Dakota rates for HCPCS 28210

Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.59 / $609.20 / $609.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.62 / $859.43 / $1,393.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.03 / $1,280.93 / $11,370.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.30 / $829.33 / $1,138.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00