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South Dakota rates for HCPCS 27722

Repair Nonunion/Malunion Tibia W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.15 / $888.15 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.49 / $888.15 / $2,144.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.12 / $2,017.87 / $2,522.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.78 / $1,500.97 / $2,324.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.90 / $1,817.19 / $7,294.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.36 / $2,014.42 / $2,774.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.36 / $1,852.64 / $2,406.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.68 / $1,505.08 / $1,770.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.86 / $1,730.66 / $2,447.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.50 / $2,149.10 / $2,149.10