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South Dakota rates for HCPCS 28400

Closed treatment of calcaneal fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $257.04 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $398.11 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $524.81 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $524.81 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $501.19 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $602.56