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South Dakota rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.11 / $320.68 / $320.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.05 / $304.18 / $544.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.60 / $639.84 / $1,025.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.97 / $479.47 / $833.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $736.39 / $2,626.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.13 / $703.19 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.61 / $530.95 / $739.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.51 / $445.71 / $695.42
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
$310.74 / $566.51 / $881.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.20 / $541.00 / $844.10