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South Dakota rates for HCPCS 28305

Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.00 / $672.00 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.66 / $1,141.56 / $1,760.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,679.86 / $11,450.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.51 / $1,126.20 / $1,324.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00