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South Dakota rates for HCPCS 28515

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $169.82 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $331.13 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $331.13 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $288.40 / $446.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $398.11