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South Dakota rates for HCPCS 27538

Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.48 / $498.83 / $498.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.44 / $432.68 / $775.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.21 / $1,127.35 / $1,425.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.72 / $762.33 / $1,151.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.35 / $1,079.27 / $3,665.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $1,024.02 / $1,273.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.00 / $1,005.94 / $1,273.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.53 / $787.91 / $978.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.61 / $997.96 / $1,324.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.90 / $1,104.80 / $1,187.20