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South Dakota rates for HCPCS 28645

Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $660.69 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,318.26 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,122.02 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $1,479.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,548.82