go back

South Dakota rates for HCPCS 29884

Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.36 / $619.36 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.99 / $1,019.68 / $1,609.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,528.24 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.15 / $1,042.34 / $1,230.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$227.13 / $227.13 / $227.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00