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South Dakota rates for HCPCS 27279

Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-articular device(s) piercing the lateral or medial cortices of the ilium and the lateral cortex of the sacrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.87 / $797.87 / $17,685.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.19 / $1,261.76 / $1,534.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.08 / $1,861.84 / $35,664.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.31 / $1,178.26 / $1,580.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$257.25 / $257.25 / $257.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00