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South Dakota rates for HCPCS 27415

Osteochondral Allograft Knee Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.71 / $1,350.71 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.96 / $1,377.75 / $3,911.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,353.90 / $3,064.20 / $3,830.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.68 / $2,231.86 / $3,597.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.26 / $2,800.90 / $10,099.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,501.96 / $3,632.34 / $25,854.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.39 / $2,851.14 / $3,685.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.52 / $2,306.88 / $2,700.81
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
$1,467.14 / $2,414.02 / $3,755.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.30 / $3,278.20 / $3,278.20