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South Dakota rates for HCPCS 27557

Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,344.23 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,344.23 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,238.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $2,884.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,511.89