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South Dakota rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $338.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $302.00 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $467.74 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $707.95 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $426.58 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $794.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $776.25