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South Dakota rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Facilitymedian $4,365 · 10th–90th $3,162–$7,4130%20%10th90th$4,365Professionalmedian $4,074 · 10th–90th $2,951–$8,1280%10%10th90th$4,074$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
$3,162.28 / $3,162.28 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,162.28 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,244.36 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,754.40 / $26,915.35
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,413.10 / $7,413.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,760.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $6,309.57
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
$3,019.95 / $5,248.07 / $8,709.64
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $7,762.47 / $7,762.47