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South Dakota rates for HCPCS 28260

Capsulotomy, midfoot; medial release only (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $724.44 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,584.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,412.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53