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South Dakota rates for HCPCS 29855

Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.78 / $777.78 / $777.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.40 / $1,299.32 / $2,050.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,917.34 / $11,149.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.98 / $1,313.71 / $1,545.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$290.32 / $290.32 / $290.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00