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South Dakota rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.45 / $462.39 / $462.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.11 / $388.48 / $858.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.99 / $884.28 / $1,293.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.66 / $656.53 / $1,064.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.30 / $1,059.52 / $3,369.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.87 / $769.84 / $1,195.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.99 / $805.08 / $1,195.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.02 / $602.26 / $866.85
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
$506.26 / $901.42 / $1,286.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.50 / $731.00 / $1,052.20