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South Dakota rates for HCPCS 28360

Reconstruction Cleft Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.08 / $1,092.08 / $1,092.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.00 / $1,092.08 / $2,626.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.15 / $2,477.54 / $3,096.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.14 / $1,771.16 / $2,219.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.46 / $1,926.70 / $8,121.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.34 / $2,444.53 / $3,403.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.34 / $2,061.29 / $2,949.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.29 / $1,617.63 / $2,169.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.22 / $1,679.23 / $2,997.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.40 / $2,633.60 / $2,633.60