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South Dakota rates for HCPCS 27604

Incision & Drainage Leg/Ankle Infected Bursa

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.20 / $461.49 / $461.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.22 / $384.65 / $957.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.66 / $945.63 / $1,319.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.82 / $705.51 / $1,080.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.75 / $1,088.51 / $3,483.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.89 / $1,012.37 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.54 / $868.31 / $1,203.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.49 / $657.25 / $899.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.16 / $900.06 / $1,336.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.00 / $797.80 / $1,092.20