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South Dakota rates for HCPCS 27087

Removal Foreign Body Pelvis/Hip Deep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.21 / $604.21 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.26 / $575.22 / $962.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.75 / $1,374.33 / $1,717.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.99 / $1,021.11 / $1,630.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.41 / $1,260.23 / $4,532.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,502.47 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.55 / $1,284.06 / $1,652.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.93 / $1,043.20 / $1,219.41
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
$660.12 / $1,200.22 / $1,682.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.70 / $1,480.10 / $1,480.10