go back

South Dakota rates for HCPCS 27428

Ligamentous Reconstruction Knee Intra-Articular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.88 / $1,106.88 / $1,106.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.89 / $1,866.86 / $2,908.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.25 / $2,738.31 / $15,588.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.40 / $1,877.36 / $2,208.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00