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South Dakota rates for HCPCS 27496

Decompression Fasciotomy Thigh&/Knee 1 Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.50 / $553.50 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.36 / $553.50 / $1,013.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.96 / $1,265.26 / $1,581.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.36 / $862.89 / $1,414.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.78 / $1,098.01 / $4,107.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.46 / $1,392.00 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.30 / $1,127.05 / $1,477.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.25 / $923.78 / $1,099.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.11 / $1,045.72 / $1,502.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.30 / $1,334.10 / $1,334.10