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South Dakota rates for HCPCS 26992

Incision Bone Cortex Pelvis&/Hip Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.71 / $1,002.71 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.18 / $1,694.58 / $2,502.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.81 / $2,222.69 / $3,135.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.41 / $1,622.81 / $1,975.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00