go back

South Dakota rates for HCPCS 27027

Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.68 / $880.68 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.42 / $1,377.05 / $2,322.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.58 / $2,009.98 / $2,741.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.67 / $1,482.99 / $1,741.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$327.90 / $327.90 / $327.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00