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South Dakota rates for HCPCS 27134

Revj Tot Hip Arthrp Bth W/Wo Agrft/Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.64 / $1,851.64 / $4,338.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$925.82 / $925.82 / $925.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,449.13 / $3,129.27 / $5,031.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,889.82 / $4,339.35 / $5,873.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.10 / $3,213.73 / $3,717.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$711.39 / $711.39 / $711.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$711.39 / $711.39 / $711.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00