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South Dakota rates for HCPCS 27745

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Tibia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.14 / $752.14 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.20 / $1,271.11 / $1,981.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.75 / $1,835.26 / $11,197.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.83 / $1,268.90 / $1,450.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$279.77 / $279.77 / $279.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00