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South Dakota rates for HCPCS 28705

Arthrodesis Pantalar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.33 / $1,208.33 / $1,208.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.16 / $2,042.08 / $3,329.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.14 / $3,013.38 / $33,121.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.00 / $2,097.11 / $2,390.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00