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South Dakota rates for HCPCS 28820

Amputation, toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.31 / $303.70 / $9,181.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.31 / $355.41 / $689.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.80 / $623.52 / $843.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.83 / $499.07 / $1,269.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.40 / $1,220.71 / $3,229.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.90 / $875.25 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.39 / $866.04 / $1,297.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.10 / $485.01 / $949.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.90 / $1,016.15 / $1,580.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.10 / $418.50 / $692.50