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South Dakota rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.20 / $107.12 / $186.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.78 / $285.93 / $357.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.90 / $269.30 / $897.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $238.20 / $300.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.61 / $192.05 / $239.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.84 / $209.86 / $326.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.60 / $255.20 / $290.50