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South Dakota rates for HCPCS 29904

Arthrs Subtalar Joint Remove Loose/Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.54 / $637.54 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.29 / $637.54 / $1,542.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.00 / $1,455.36 / $1,819.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.25 / $995.73 / $1,667.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.64 / $1,282.68 / $4,754.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.39 / $1,692.76 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.31 / $1,328.12 / $1,717.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.78 / $1,083.30 / $1,274.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.12 / $1,118.18 / $1,749.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.20 / $1,546.80 / $1,546.80