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South Dakota rates for HCPCS 27425

Lateral retinacular release, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.90 / $460.90 / $6,750.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.95 / $772.14 / $1,163.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.77 / $1,205.20 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.54 / $759.79 / $911.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00