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South Dakota rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.78 / $391.78 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.15 / $391.78 / $1,131.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.85 / $908.43 / $1,135.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.52 / $642.37 / $1,029.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.22 / $812.87 / $3,648.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.25 / $1,023.19 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.34 / $804.08 / $1,038.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.85 / $668.13 / $785.98
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
$348.56 / $774.16 / $1,068.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.70 / $954.00 / $954.00