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South Dakota rates for HCPCS 28666

Prq Skel Fixj Interphalangeal Joint Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.84 / $180.84 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $180.84 / $509.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.62 / $404.35 / $505.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.56 / $318.16 / $756.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.47 / $372.75 / $3,532.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.91 / $500.25 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.52 / $372.75 / $473.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.44 / $299.58 / $341.56
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
$153.49 / $352.84 / $483.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $414.60 / $414.60