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South Dakota rates for HCPCS 28234

Tenotomy Open Extensor Foot/Toe Each Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.08 / $422.04 / $422.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.93 / $383.06 / $646.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.83 / $794.68 / $1,193.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.02 / $597.80 / $970.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.30 / $953.55 / $3,056.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.34 / $953.00 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.83 / $707.62 / $1,083.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.31 / $536.92 / $795.04
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
$458.19 / $833.08 / $1,171.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.70 / $651.70 / $965.00