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South Dakota rates for HCPCS 29915

Arthroscopy Hip W/Acetabuloplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.07 / $4,338.00 / $5,545.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.90 / $1,635.13 / $2,660.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.25 / $2,705.18 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.09 / $1,697.54 / $1,996.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$375.64 / $375.64 / $375.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00