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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
$562.34 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,288.25 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53