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South Dakota rates for HCPCS 27290

Interpelviabdominal Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.29 / $1,590.29 / $1,590.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.30 / $1,590.29 / $3,863.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,762.68 / $3,596.33 / $4,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.44 / $2,687.59 / $4,257.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.02 / $3,268.10 / $14,468.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.00 / $3,662.98 / $5,018.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.00 / $3,394.08 / $4,358.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.29 / $2,728.68 / $3,182.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.02 / $2,853.41 / $4,438.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,156.80 / $3,862.40 / $3,862.40