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South Dakota rates for HCPCS 27381

Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $2,089.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,819.70 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28