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South Dakota rates for HCPCS 29876

Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.16 / $651.16 / $651.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.04 / $1,098.83 / $1,717.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.28 / $1,608.73 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.55 / $1,101.80 / $1,295.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00