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South Dakota rates for HCPCS 28530

Closed treatment of sesamoid fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $363.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $239.88 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $229.09 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $204.17 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $288.40