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South Dakota rates for HCPCS 27612

Arthrt Pst Capsul Rls Ankle W/Wo Achll Tdn Lngth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.55 / $570.55 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.48 / $954.00 / $1,490.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.35 / $1,422.88 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.12 / $958.59 / $1,138.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00