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South Dakota rates for HCPCS 12044

Repair Intermediate N/H/F/Xtrnl Gent 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.82 / $379.85 / $379.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.40 / $320.45 / $441.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.03 / $605.75 / $1,100.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $472.64 / $922.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.18 / $888.20 / $2,839.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.83 / $574.51 / $952.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.00 / $649.45 / $1,030.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.01 / $520.80 / $740.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.81 / $574.71 / $1,041.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.80 / $470.80 / $830.60