go back

South Dakota rates for HCPCS 27420

Reconstruction of dislocating patella; (eg, Hauser type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.11 / $744.11 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.06 / $1,257.55 / $1,930.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.39 / $1,846.48 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.46 / $1,255.90 / $1,481.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00