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South Dakota rates for HCPCS 29887

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.58 / $750.58 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.38 / $683.88 / $1,186.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.11 / $1,709.35 / $2,136.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.11 / $1,255.71 / $1,950.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.66 / $1,515.95 / $6,095.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.67 / $1,854.62 / $11,836.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.67 / $1,561.16 / $2,025.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.02 / $1,269.46 / $1,496.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.66 / $1,335.48 / $2,062.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.40 / $1,816.20 / $1,816.20