go back

South Dakota rates for HCPCS 27488

Rmvl Prosth Tot Knee Prosth Mma W/Wo Insj Spacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.46 / $1,181.46 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.99 / $1,996.67 / $3,143.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.83 / $2,720.09 / $3,708.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.84 / $2,010.97 / $2,361.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$445.78 / $445.78 / $445.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$445.78 / $445.78 / $445.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00