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South Dakota rates for HCPCS 20808

Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,814.68 / $3,814.68 / $3,814.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,209.24 / $3,814.68 / $9,319.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,610.43 / $8,605.16 / $10,756.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,610.07 / $6,446.81 / $10,283.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,917.33 / $8,236.03 / $30,520.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.05 / $8,971.79 / $12,128.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,098.05 / $8,432.54 / $10,513.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.70 / $6,645.03 / $7,661.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,917.33 / $6,922.48 / $10,768.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,600.20 / $9,299.10 / $9,299.10