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South Dakota rates for HCPCS 27640

Partial Excision Bone Tibia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.03 / $827.03 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.06 / $1,397.68 / $2,192.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.83 / $2,047.76 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.70 / $1,399.44 / $1,630.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00