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South Dakota rates for HCPCS K0047

Elevating Legrest Upper Hanger Bracket Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $77.87 / $77.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.52 / $54.52 / $95.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.38 / $97.34 / $120.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $120.43 / $391.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $69.59 / $81.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $9.56 / $9.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $18.04 / $98.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $69.59 / $81.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $78.13 / $78.13