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South Dakota rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.83 / $139.75 / $288.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.39 / $315.54 / $449.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.90 / $360.83 / $1,166.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.98 / $291.20 / $409.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.22 / $219.95 / $306.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.53 / $280.58 / $436.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.20 / $267.00 / $372.20