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South Dakota rates for HCPCS 27257

Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.14 / $355.14 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.42 / $301.31 / $565.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $804.81 / $1,006.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.57 / $598.54 / $897.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.62 / $695.42 / $4,765.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.85 / $920.93 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.01 / $716.85 / $971.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.62 / $581.04 / $711.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $3,200.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.50 / $635.09 / $987.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.90 / $863.70 / $863.70