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South Dakota rates for HCPCS 28470

Closed treatment of metatarsal fracture; without manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.71 / $227.93 / $227.93
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$160.28 / $160.28 / $170.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.61 / $196.40 / $386.12
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$136.22 / $160.28 / $396.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.62 / $523.49 / $654.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.08 / $351.77 / $533.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.45 / $500.49 / $1,670.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $467.98 / $578.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.00 / $466.20 / $578.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.63 / $364.37 / $440.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.35 / $394.34 / $613.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.60 / $504.90 / $534.70