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South Dakota rates for HCPCS 29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.94 / $9,826.41 / $24,756.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.36 / $1,630.75 / $2,577.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.55 / $2,497.03 / $10,876.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.58 / $1,648.35 / $1,914.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$364.83 / $364.83 / $364.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $14,287.46