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South Dakota rates for HCPCS 27407

Repair Primary Torn Ligm&/Capsule Knee Cruciat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.52 / $794.52 / $794.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.40 / $794.52 / $1,915.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.32 / $1,805.95 / $2,257.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.60 / $1,338.80 / $2,065.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.06 / $1,582.52 / $5,915.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,961.08 / $11,742.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.81 / $1,647.36 / $2,144.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.22 / $1,345.06 / $1,582.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.06 / $1,402.18 / $2,181.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.70 / $1,920.60 / $1,920.60