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South Dakota rates for HCPCS G0428

Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.20 / $805.20 / $805.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.79 / $1,360.79 / $1,360.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00