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South Dakota rates for HCPCS 28226

Tenolysis Extensor Foot Multiple Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.10 / $634.29 / $634.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.40 / $527.88 / $1,126.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.01 / $1,154.04 / $1,773.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.91 / $758.30 / $1,174.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.66 / $1,198.90 / $4,555.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.13 / $1,201.26 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.97 / $901.60 / $1,403.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.74 / $765.04 / $1,200.00
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
$542.66 / $1,002.04 / $1,729.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.90 / $968.90 / $1,456.50