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South Dakota rates for HCPCS 28262

Capsul Midfoot W/Pst Talotibl Capsul&Tdn Lngth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.95 / $1,402.47 / $1,402.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.19 / $1,988.25 / $3,167.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,216.46 / $3,037.10 / $10,457.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.41 / $2,190.40 / $2,699.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00