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South Dakota rates for HCPCS 28446

Open Osteochondral Autograft Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.21 / $1,207.21 / $1,207.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $1,207.21 / $2,924.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.73 / $2,738.54 / $3,423.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.92 / $1,901.91 / $3,203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.51 / $2,459.71 / $9,021.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.09 / $3,241.93 / $10,457.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.68 / $2,555.41 / $3,289.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.69 / $2,053.91 / $2,411.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.42 / $2,342.58 / $3,348.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.40 / $2,927.20 / $2,927.20