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South Dakota rates for HCPCS 28495

Closed treatment of fracture great toe, phalanx or phalanges; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $354.81 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $346.74 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $338.84 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $478.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $446.68