go back

South Dakota rates for HCPCS 28405

Closed Tx Calcaneal Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.84 / $463.99 / $463.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.18 / $431.46 / $721.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.56 / $1,022.69 / $1,331.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.62 / $677.30 / $959.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.80 / $898.84 / $3,421.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $880.12 / $1,091.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $814.35 / $1,087.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.54 / $699.47 / $915.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.45 / $718.95 / $1,111.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.30 / $998.80 / $1,111.09