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South Dakota rates for HCPCS 27175

Tx Slp Femoral Epiphysis Trcj W/O Reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.01 / $662.01 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.24 / $662.01 / $1,602.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.90 / $1,506.00 / $1,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.79 / $1,092.13 / $1,741.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.98 / $1,349.36 / $4,992.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.10 / $1,507.02 / $2,067.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.10 / $1,318.97 / $1,793.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.30 / $1,124.00 / $1,322.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.21 / $1,173.49 / $1,825.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.70 / $1,604.90 / $1,604.90