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South Dakota rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.34 / $203.68 / $203.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $182.34 / $474.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.80 / $472.85 / $591.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.17 / $312.24 / $477.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.05 / $452.71 / $1,511.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $408.04 / $509.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $408.04 / $509.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.60 / $320.27 / $393.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.62 / $354.44 / $551.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.70 / $430.30 / $478.20