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South Dakota rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.89 / $821.89 / $821.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.89 / $1,388.99 / $2,274.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.98 / $1,940.15 / $2,645.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.07 / $1,412.83 / $1,611.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00