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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
$239.08 / $258.29 / $258.29
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$179.31 / $179.31 / $193.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.50 / $239.08 / $395.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.14 / $595.16 / $744.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.23 / $398.49 / $600.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.99 / $565.24 / $1,896.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $524.75 / $654.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.00 / $519.79 / $654.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.86 / $413.10 / $501.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.78 / $445.39 / $692.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.70 / $566.10 / $609.29