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South Dakota rates for HCPCS 54437

Repair of traumatic corporeal tear(s)

Facilitymedian $1,549 · 10th–90th $617–$4,3650%20%10th90th$1,549Professionalmedian $891 · 10th–90th $617–$1,9500%10%10th90th$891$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,584.89 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,202.26 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,479.11 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,348.96 / $1,905.46
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,513.56 / $1,584.89