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South Dakota rates for HCPCS 27658

Repair, flexor tendon, leg; primary, without graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,238.72 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $630.96 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$141.25 / $141.25 / $141.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$141.25 / $141.25 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53