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South Dakota rates for HCPCS 28496

Prq Skel Fixj Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.08 / $474.17 / $474.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.16 / $629.54 / $1,148.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.66 / $1,030.16 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.88 / $600.00 / $982.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00