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South Dakota rates for HCPCS 27050

Arthrotomy, with biopsy; sacroiliac joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.35 / $411.35 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.84 / $411.35 / $984.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.19 / $942.71 / $1,178.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.67 / $674.09 / $1,042.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.08 / $793.57 / $3,048.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.96 / $1,071.34 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.54 / $824.75 / $1,091.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.18 / $680.74 / $816.39
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
$415.68 / $714.08 / $1,110.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.90 / $990.90 / $990.90