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South Dakota rates for HCPCS K0042

Standard Size Footplate Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $34.44 / $34.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $24.94 / $41.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $44.31 / $54.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $54.89 / $177.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $29.72 / $35.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $7.79 / $42.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $22.04 / $35.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $33.57 / $33.57