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South Dakota rates for HCPCS 27197

Clsd Tx Pelvic Ring Fx W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.71 / $134.71 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.40 / $122.55 / $210.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.82 / $303.07 / $378.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.19 / $190.51 / $281.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $242.91 / $987.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $281.07 / $327.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.18 / $274.02 / $361.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.38 / $221.61 / $260.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $232.32 / $352.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.60 / $316.39 / $316.39