go back

South Dakota rates for HCPCS 28485

Open Treatment Metatarsal Fracture Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.46 / $572.46 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.75 / $876.54 / $1,395.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.96 / $1,409.65 / $10,640.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.78 / $893.70 / $1,112.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00