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South Dakota rates for HCPCS 27626

Arthrotomy, with synovectomy, ankle; including tenosynovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.78 / $612.78 / $612.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.63 / $1,035.59 / $1,625.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.82 / $1,537.02 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.24 / $1,029.85 / $1,210.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00