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South Dakota rates for HCPCS 27882

Amputation, leg, through tibia and fibula; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.01 / $563.01 / $563.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.10 / $967.00 / $1,580.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.25 / $1,334.19 / $1,834.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.57 / $1,007.14 / $1,148.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$221.34 / $221.34 / $221.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00