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South Dakota rates for HCPCS 28545

Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $323.59 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $758.58 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $478.63 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $602.56 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $575.44 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $630.96
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
$302.00 / $512.86 / $812.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $758.58