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South Dakota rates for HCPCS 29874

Arthroscopy Knee Removal Loose/Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.86 / $975.04 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.52 / $921.51 / $1,403.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.71 / $1,328.57 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.61 / $905.14 / $1,064.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00