go back

South Dakota rates for HCPCS 27025

Fasciotomy, hip or thigh, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.02 / $914.02 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.88 / $1,464.28 / $2,381.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.85 / $2,082.96 / $2,859.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.41 / $1,546.13 / $1,851.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$339.35 / $339.35 / $339.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00