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South Dakota rates for HCPCS 27886

Amp Leg Thru Tibia&Fibula Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.47 / $625.47 / $625.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $1,057.04 / $1,731.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.14 / $1,469.65 / $2,014.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.36 / $1,109.83 / $1,265.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00