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South Dakota rates for HCPCS 27664

Rpr Extensor Tendon Leg Primary W/O Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.18 / $368.18 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.99 / $622.22 / $954.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.75 / $953.00 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.77 / $606.30 / $709.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00