go back

South Dakota rates for HCPCS 27652

Rpr Primary Open/Prq Ruptured Achilles W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.81 / $666.81 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.34 / $1,126.91 / $1,820.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,745.31 / $10,876.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.70 / $1,146.48 / $1,314.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00