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South Dakota rates for HCPCS 27692

Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.14 / $97.14 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.91 / $171.81 / $275.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.44 / $238.89 / $1,089.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $174.19 / $213.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$38.86 / $38.86 / $38.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00