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South Dakota rates for HCPCS 28825

Amputation, toe; interphalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.29 / $297.98 / $297.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.29 / $414.90 / $711.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.18 / $484.02 / $827.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.70 / $489.56 / $1,211.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.44 / $1,243.38 / $3,071.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.99 / $856.76 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.78 / $828.24 / $1,243.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $475.66 / $906.85
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
$436.91 / $1,087.32 / $1,515.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.70 / $408.30 / $679.20