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South Dakota rates for HCPCS K0043

Footrest Lower Extension Tube Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $21.35 / $21.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.26 / $20.03 / $25.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.27 / $33.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $33.61 / $109.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $18.43 / $21.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.54 / $2.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.80 / $26.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $13.64 / $21.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $20.81