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South Dakota rates for HCPCS 28020

Arthrt W/Expl Drg/Rmvl Loose/Fb Ntrtrsl/Tars Jt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.55 / $562.13 / $562.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.02 / $786.45 / $1,274.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.14 / $1,164.47 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.41 / $715.47 / $1,035.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00