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South Dakota rates for HCPCS 27400

Transfer Tendon/Muscle Hamstrings Femur

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.60 / $695.60 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.25 / $695.60 / $1,675.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.55 / $1,582.35 / $1,977.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.21 / $1,175.56 / $1,810.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.03 / $1,393.39 / $5,175.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,715.83 / $10,405.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.33 / $1,442.81 / $1,876.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.25 / $1,176.79 / $1,384.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.58 / $1,226.52 / $1,907.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.30 / $1,680.30 / $1,680.30