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South Dakota rates for HCPCS 28238

Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.61 / $687.73 / $687.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.34 / $970.69 / $1,573.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.50 / $1,451.95 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.39 / $954.18 / $1,290.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$248.88 / $248.88 / $248.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00