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South Dakota rates for HCPCS 27333

Arthrt W/Exc Semilunar Crtlg Knee Medial&Lat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.50 / $592.50 / $592.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.91 / $592.50 / $1,423.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.40 / $1,351.74 / $1,689.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.37 / $999.82 / $1,523.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.72 / $1,196.98 / $9,231.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.99 / $1,459.25 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.59 / $1,215.61 / $1,587.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.38 / $994.57 / $1,177.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.99 / $1,139.98 / $1,613.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.00 / $1,429.10 / $1,429.10