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South Dakota rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Facilitymedian $4,266 · 10th–90th $2,692–$6,1660%20%10th90th$4,266Professionalmedian $3,467 · 10th–90th $2,512–$6,7610%20%10th90th$3,467$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,691.53 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,165.95 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,011.87 / $20,417.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,165.95 / $6,165.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $6,025.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,570.88 / $5,370.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $7,413.10
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,456.54 / $6,456.54