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South Dakota rates for HCPCS 28635

Cltx Metatarsophlngl Jt Dislc Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.12 / $181.29 / $181.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.49 / $181.29 / $378.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.20 / $379.81 / $502.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.11 / $252.62 / $407.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.95 / $409.50 / $1,295.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.13 / $407.75 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.31 / $345.72 / $462.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.23 / $258.76 / $338.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.35 / $346.86 / $494.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.70 / $314.10 / $410.70