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South Dakota rates for HCPCS 28260

Capsulotomy Midfoot Medial Release Only Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.53 / $730.86 / $730.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.61 / $1,050.83 / $1,703.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,579.32 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.56 / $1,058.98 / $1,403.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$255.32 / $255.32 / $255.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00