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Open Guillotine Amputation of the Lower Leg

Washington rates for HCPCS 27882

Removes the lower leg through the two shin bones with a straight circular cut, leaving the wound open rather than closing it with skin flaps. It is used when infection or dead tissue makes immediate closure unsafe, so the stump can be cleaned and watched. A further operation is done later to shape and close the stump.

Rates data updated July 2026.

How much does Open Guillotine Amputation of the Lower Leg cost?

$1,380

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $851 to $5,129.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $741 to $18,621
$500$1K$2K$5K$10K$20Kfacility $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,513.56
Typical High
$18,620.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$21,379.62
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,202.26
Typical High
$4,265.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,174.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$812.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,232.93
Typical High
$19,498.45

Where Washington sits

The same service costs 19.1 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 38th of 50

$1,380

IN $11,220ND $589

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.