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South Dakota rates for HCPCS 27696

Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.78 / $552.78 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.64 / $938.20 / $1,462.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,391.75 / $10,600.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.62 / $920.53 / $1,082.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00