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South Dakota rates for HCPCS 27556

Open Tx Knee Dislocation W/O Ligamentous Repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.46 / $862.46 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.52 / $862.46 / $2,108.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.45 / $1,949.31 / $2,436.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.43 / $1,481.12 / $2,292.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.90 / $1,761.90 / $6,777.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.56 / $1,983.08 / $2,715.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.56 / $1,935.95 / $2,358.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.63 / $1,469.65 / $1,720.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.90 / $1,542.80 / $2,399.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.10 / $2,088.60 / $2,088.60