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South Dakota rates for HCPCS 27090

Removal Hip Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.53 / $825.53 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.21 / $1,379.66 / $2,158.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.01 / $1,880.72 / $2,575.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.15 / $1,391.25 / $1,636.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$308.08 / $308.08 / $308.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00