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South Dakota rates for HCPCS 28546

Prq Skel Fixj Tarsl Dislc Xcp Talotarsal W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.04 / $611.07 / $611.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.85 / $508.27 / $971.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $1,039.11 / $1,709.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.14 / $776.52 / $1,392.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.52 / $1,321.92 / $4,355.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.57 / $1,288.94 / $2,649.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.69 / $939.86 / $1,533.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.53 / $743.22 / $1,145.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.54 / $1,060.76 / $1,650.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.90 / $863.70 / $1,390.60