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South Dakota rates for HCPCS 29873

Arthroscopy Knee Lateral Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.13 / $543.13 / $9,214.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.09 / $903.36 / $1,364.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.72 / $1,332.16 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.33 / $891.34 / $1,071.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00