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South Dakota rates for HCPCS 28226

Tenolysis, extensor, foot; multiple tendons

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $630.96 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,000.00 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,122.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,202.26
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
$416.87 / $794.33 / $1,445.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,445.44