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South Dakota rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $12.99 / $15.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $13.97 / $20.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $20.97 / $22.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $35.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $12.88 / $17.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.10 / $2.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $3.95 / $21.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $12.88 / $16.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $17.14 / $17.14