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South Dakota rates for HCPCS 27562

Closed Tx Patellar Dislocation W/Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.31 / $497.31 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.06 / $497.31 / $897.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.41 / $1,138.27 / $1,422.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.41 / $781.48 / $1,249.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.34 / $974.38 / $3,688.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.63 / $916.62 / $1,301.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.66 / $1,002.29 / $1,319.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.71 / $820.55 / $987.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.78 / $861.66 / $1,340.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.00 / $1,199.00 / $1,199.00