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South Dakota rates for HCPCS 27429

Ligmous Rcnstj Agmntj Kne Intra-Articular Xtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.06 / $1,247.06 / $1,247.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.70 / $1,247.06 / $3,016.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.14 / $2,836.70 / $3,545.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.06 / $2,056.76 / $3,268.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.96 / $2,541.17 / $9,307.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.07 / $3,086.01 / $22,682.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.07 / $2,610.21 / $3,376.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.33 / $2,116.57 / $2,489.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $25,733.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.09 / $2,539.17 / $3,437.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,470.10 / $3,022.20 / $3,022.20