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South Dakota rates for HCPCS 27422

Rcnstj Dislc Patella W/Xtnsr Relignmt&/Musc Rl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.24 / $6,849.00 / $8,969.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.03 / $1,247.58 / $1,937.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.43 / $1,932.00 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.33 / $1,254.32 / $1,475.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$275.26 / $275.26 / $275.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00