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South Dakota rates for HCPCS 28675

Open Treatment Interphalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.71 / $591.55 / $591.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.27 / $725.72 / $1,358.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.40 / $1,256.18 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.20 / $818.98 / $1,116.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00