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South Dakota rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.54 / $356.08 / $356.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.60 / $315.54 / $836.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.79 / $821.07 / $1,026.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.68 / $513.98 / $821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $750.51 / $2,606.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $670.00 / $865.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.30 / $670.00 / $865.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.09 / $545.97 / $697.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.42 / $598.92 / $931.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.60 / $756.90 / $846.40