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South Dakota rates for HCPCS 27497

Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve

Facilitymedian $977 · 10th–90th $575–$4,3650%20%10th90th$977Professionalmedian $741 · 10th–90th $537–$1,4450%10%10th90th$741$500.0$1.0K$2.0K$5.0K

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
$575.44 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,348.96 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,047.13 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,318.26 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,258.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $977.24 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $977.24 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $1,412.54