go back

South Dakota rates for HCPCS 27750

Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.87 / $362.25 / $362.25
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$251.15 / $251.15 / $271.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.17 / $316.98 / $560.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.32 / $833.53 / $1,042.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.40 / $549.54 / $822.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.20 / $781.72 / $2,663.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $721.11 / $927.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $721.11 / $927.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.47 / $574.40 / $710.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.59 / $724.34 / $961.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.29 / $799.30 / $862.10