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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
$457.09 / $6,760.83 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28