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South Dakota rates for HCPCS 27625

Arthrotomy, with synovectomy, ankle;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.82 / $574.82 / $574.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.43 / $972.96 / $1,537.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.86 / $1,426.31 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.54 / $974.74 / $1,127.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00