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South Dakota rates for HCPCS 28600

Closed Tx Tarsometatarsal Dislocation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.32 / $228.54 / $228.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.10 / $193.32 / $529.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.54 / $506.48 / $659.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.63 / $331.14 / $490.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.50 / $501.46 / $1,440.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $428.90 / $528.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.49 / $428.90 / $551.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.01 / $358.93 / $443.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.97 / $384.14 / $608.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.80 / $458.60 / $537.90