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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
$374.10 / $374.10 / $10,350.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.35 / $639.78 / $984.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $922.74 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.57 / $625.79 / $736.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$137.57 / $137.57 / $137.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$137.57 / $137.57 / $137.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00