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South Dakota rates for HCPCS 27095

Injection Hip Arthrography W/Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.11 / $329.44 / $329.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $206.87 / $433.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.32 / $224.97 / $878.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.43 / $337.27 / $622.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.65 / $558.16 / $2,719.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.75 / $461.85 / $1,017.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.16 / $472.17 / $730.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.29 / $365.87 / $581.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.25 / $487.30 / $830.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.60 / $191.60 / $705.90