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South Dakota rates for HCPCS 29828

Surgical Arthroscopy Shoulder Biceps Tenodesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.05 / $3,988.07 / $15,306.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.69 / $1,426.24 / $2,388.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.67 / $2,429.65 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.20 / $1,534.22 / $1,804.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$336.52 / $336.52 / $336.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$336.52 / $336.52 / $336.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00