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South Dakota rates for HCPCS 28430

Closed treatment of talus fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.76 / $250.77 / $250.77
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$164.07 / $164.07 / $188.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.58 / $250.77 / $515.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.57 / $575.67 / $719.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.55 / $370.70 / $580.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.08 / $543.25 / $1,835.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $489.45 / $635.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.00 / $481.79 / $635.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.61 / $393.96 / $486.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.85 / $430.61 / $669.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.80 / $519.79 / $590.50