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South Dakota rates for HCPCS 28665

Cltx Interphalangeal Joint Dislocation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.05 / $131.60 / $360.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.24 / $351.09 / $443.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $359.87 / $1,150.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.00 / $310.61 / $393.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.01 / $248.41 / $298.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.24 / $277.87 / $432.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.40 / $301.50 / $362.00