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South Dakota rates for HCPCS 28735

Arthrd Midtarsl/Tars Mlt/Transvrs W/Osteot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.34 / $779.34 / $779.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.13 / $1,308.21 / $2,074.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,926.25 / $23,357.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.28 / $1,307.19 / $1,534.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$288.89 / $288.89 / $288.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00