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South Dakota rates for HCPCS 27596

Amputation Thigh Through Femur Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.57 / $687.57 / $687.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.32 / $1,161.99 / $1,887.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.24 / $1,610.81 / $2,213.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.56 / $1,213.78 / $1,385.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00