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South Dakota rates for HCPCS 27256

Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.19 / $312.57 / $312.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.25 / $264.56 / $508.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.78 / $654.44 / $894.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.76 / $459.30 / $726.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.51 / $693.56 / $3,929.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $586.16 / $805.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $592.97 / $805.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.44 / $472.24 / $627.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.60 / $533.99 / $830.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.50 / $573.20 / $761.60