go back

South Dakota rates for HCPCS 28505

Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.04 / $665.79 / $665.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.36 / $894.63 / $1,529.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,422.11 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.78 / $979.41 / $1,264.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00