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South Dakota rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.24 / $268.02 / $268.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.15 / $238.81 / $438.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.85 / $620.08 / $775.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.83 / $411.50 / $626.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.98 / $591.47 / $1,993.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $532.57 / $678.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.00 / $526.25 / $678.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.91 / $426.45 / $524.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.28 / $470.88 / $721.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.20 / $560.60 / $636.79