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South Dakota rates for HCPCS 27165

Osteot Intertrchntric/Subtrchntric W/Int/Xtrnl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.81 / $1,351.81 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.79 / $2,253.27 / $3,593.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.38 / $3,102.43 / $4,261.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.64 / $2,297.01 / $2,688.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00