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South Dakota rates for HCPCS 27884

Amputation, leg, through tibia and fibula; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.46 / $559.46 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.70 / $945.49 / $1,513.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.33 / $1,397.19 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.19 / $973.58 / $1,131.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00