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South Dakota rates for HCPCS 27695

Repair, primary, disrupted ligament, ankle; collateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.10 / $4,338.00 / $11,414.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.03 / $826.58 / $1,255.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.50 / $1,209.84 / $10,990.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.78 / $819.90 / $964.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00