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South Dakota rates for HCPCS 27894

Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.38 / $795.38 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.36 / $1,330.25 / $2,257.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.05 / $1,977.62 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.53 / $1,412.26 / $1,610.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22