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South Dakota rates for HCPCS 28322

Rpr Non/Malunion Metarsal W/Wo Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.11 / $800.98 / $800.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.37 / $1,132.71 / $1,836.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.39 / $1,718.33 / $11,238.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.04 / $1,139.83 / $1,527.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$291.86 / $291.86 / $291.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00