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South Dakota rates for HCPCS 28294

Surgery-Musculoskeletal System

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.11 / $1,481.26 / $2,119.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.78 / $1,172.85 / $2,041.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,870.00 / $3,870.00 / $3,870.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.83 / $1,179.00 / $1,524.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.61 / $1,281.08 / $1,302.50