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South Dakota rates for HCPCS 27566

Open treatment of patellar dislocation, with or without partial or total patellectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.80 / $883.80 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.06 / $883.80 / $1,403.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.74 / $2,006.96 / $2,508.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.59 / $1,458.79 / $2,331.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.62 / $1,814.34 / $6,601.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.74 / $2,189.05 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.74 / $1,859.22 / $2,401.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.64 / $1,500.13 / $1,764.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.37 / $1,772.68 / $2,446.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.70 / $2,142.00 / $2,142.00