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South Dakota rates for HCPCS 29863

Arthroscopy, hip, surgical; with synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.71 / $807.71 / $807.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.24 / $1,331.30 / $2,111.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,003.34 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.41 / $1,364.44 / $1,612.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$298.56 / $298.56 / $298.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00