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South Dakota rates for HCPCS 28675

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,318.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53