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South Dakota rates for HCPCS 29875

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.39 / $498.39 / $498.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.05 / $851.22 / $1,291.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.46 / $1,285.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.26 / $840.25 / $988.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$183.51 / $183.51 / $183.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00