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South Dakota rates for HCPCS 28525

Open Tx Fracture Phalanx/Phalanges Not Great Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.85 / $582.92 / $582.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.42 / $826.45 / $1,343.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.65 / $1,226.33 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.83 / $796.98 / $1,090.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00