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South Dakota rates for HCPCS 27889

Ankle Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.58 / $610.58 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.71 / $1,053.65 / $1,702.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,556.10 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.31 / $1,092.81 / $1,245.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $14,287.46