go back

South Dakota rates for HCPCS 20838

Replantation Foot Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.41 / $2,714.41 / $2,714.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.05 / $2,714.41 / $6,601.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,703.46 / $6,128.40 / $7,660.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,279.60 / $4,496.35 / $5,948.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,541.46 / $5,585.12 / $20,805.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,136.72 / $6,169.72 / $8,590.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,136.72 / $5,366.53 / $7,452.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.96 / $4,507.01 / $5,433.31
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
$2,925.54 / $4,889.09 / $7,605.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,390.10 / $6,594.90 / $6,594.90