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South Dakota rates for HCPCS 28341

Rcnstj Toe Macrodactyly Requiring Bone Resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.89 / $671.21 / $671.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.36 / $566.04 / $1,397.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.52 / $1,402.38 / $1,901.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.63 / $979.46 / $1,550.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.75 / $1,579.81 / $4,950.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.50 / $1,437.39 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.90 / $1,289.15 / $1,739.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.39 / $954.18 / $1,277.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.53 / $1,220.56 / $1,898.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.60 / $1,158.20 / $1,550.80