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South Dakota rates for HCPCS 28800

Amputation, foot; midtarsal (eg, Chopart type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28