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South Dakota rates for HCPCS 28240

Tenotomy Lengthening/Rls Abductor Hallucis Musc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.60 / $455.51 / $455.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.67 / $400.12 / $573.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.02 / $853.11 / $1,275.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.13 / $644.95 / $1,045.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.29 / $1,064.74 / $3,307.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.25 / $962.15 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.34 / $782.30 / $1,181.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.59 / $581.55 / $855.20
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
$396.64 / $821.88 / $1,278.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.90 / $705.90 / $1,038.00