go back

South Dakota rates for HCPCS 28570

Closed treatment of talotarsal joint dislocation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.48 / $246.45 / $246.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $208.90 / $544.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.50 / $563.59 / $713.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.36 / $340.72 / $443.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.60 / $436.37 / $1,800.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $434.44 / $596.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.72 / $434.44 / $540.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.67 / $344.79 / $483.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.54 / $439.06 / $641.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.40 / $492.30 / $586.50