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South Dakota rates for HCPCS 28345

Rcnstj Toe Syndactyly W/Wo Skin Graft Each Web

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.18 / $524.74 / $524.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.77 / $442.13 / $1,036.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.88 / $1,051.79 / $1,485.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.89 / $778.63 / $1,211.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.10 / $1,228.32 / $3,849.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.72 / $1,200.69 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.88 / $965.60 / $1,358.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.46 / $714.18 / $994.93
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
$516.47 / $1,004.73 / $1,484.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.50 / $866.90 / $1,207.59