go back

South Dakota rates for HCPCS 27369

Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.75 / $196.60 / $850.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $131.43 / $196.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $112.80 / $505.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.21 / $164.59 / $332.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.19 / $309.06 / $652.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.63 / $289.75 / $553.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.50 / $282.42 / $397.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.88 / $190.11 / $333.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $274.13 / $446.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $94.20 / $404.40