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South Dakota rates for HCPCS 28222

Tenolysis, flexor, foot; multiple tendons

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.08 / $461.79 / $1,000.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.19 / $1,067.36 / $1,545.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.65 / $1,211.72 / $4,012.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.19 / $953.51 / $1,383.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.03 / $729.70 / $1,039.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $950.29 / $1,478.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.90 / $885.70 / $1,261.80