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South Dakota rates for HCPCS 28261

Capsulotomy Midfoot W/Tendon Lengthening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.01 / $1,209.64 / $1,209.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.48 / $1,536.11 / $2,490.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.60 / $2,020.28 / $2,675.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.92 / $1,672.72 / $2,114.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00