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South Dakota rates for HCPCS 27831

Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.40 / $417.40 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.82 / $417.40 / $998.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.16 / $958.29 / $1,197.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.83 / $661.85 / $1,037.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.64 / $780.36 / $3,090.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,024.08 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.37 / $807.48 / $1,101.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.98 / $677.80 / $828.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.35 / $717.32 / $1,115.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.40 / $1,005.10 / $1,005.10