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South Dakota rates for HCPCS 27134

Revision of total hip arthroplasty; both components, with or without autograft or allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,623.41 / $26,915.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,365.16 / $4,365.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $3,715.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$724.44 / $724.44 / $724.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93