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South Dakota rates for HCPCS 27097

Release or recession, hamstring, proximal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.48 / $682.48 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.90 / $682.48 / $1,239.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.21 / $1,551.97 / $1,939.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.92 / $1,124.24 / $1,776.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.29 / $1,381.07 / $5,078.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,683.70 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.43 / $1,417.24 / $1,839.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.65 / $1,154.79 / $1,358.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.42 / $1,204.20 / $1,873.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.70 / $1,648.90 / $1,648.90