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South Dakota rates for HCPCS 28510

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.66 / $126.37 / $126.37
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$94.25 / $94.25 / $94.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $123.60 / $279.89
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$80.48 / $94.25 / $221.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $292.94 / $366.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.58 / $201.68 / $317.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.30 / $275.89 / $931.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.32 / $275.89 / $367.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.97 / $275.89 / $327.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.37 / $206.55 / $245.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $229.81 / $342.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $298.39 / $298.39