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South Dakota rates for HCPCS 27130

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

Facilitymedian $12,589 · 10th–90th $4,677–$17,7830%20%10th90th$12,589Professionalmedian $1,445 · 10th–90th $162–$31,6230%5%10%10th90th$1,445$50.0$200.0$1.0K$5.0K$20.0K

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
$5,370.32 / $12,589.25 / $17,782.79
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $2,818.38 / $33,113.11
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$87.10 / $173.78 / $691.83
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,511.89 / $20,417.38
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,884.03 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,570.40 / $21,877.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,754.23 / $13,489.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,090.30 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,951.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,187.76 / $2,570.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,290.87 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,090.30 / $3,090.30