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South Dakota rates for HCPCS 27665

Repair, extensor tendon, leg; secondary, with or without graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.14 / $426.14 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.20 / $724.34 / $1,077.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.12 / $1,055.75 / $10,430.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.58 / $693.72 / $826.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$153.40 / $153.40 / $153.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00