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South Dakota rates for HCPCS 28405

Closed treatment of calcaneal fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $467.74 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $676.08 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $812.83 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,122.02