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South Dakota rates for HCPCS 27381

Sutr Infrapatellar Tdn 2 Rcnstj W/Fscal/Tdn Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.71 / $822.71 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.27 / $1,353.47 / $2,074.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.43 / $2,018.04 / $10,477.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.12 / $1,350.28 / $1,621.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$296.37 / $296.37 / $296.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $14,287.46