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South Dakota rates for HCPCS K0050

Ratchet Assembly Replacement Only (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $35.32 / $35.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.33 / $42.33 / $42.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $45.07 / $55.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $51.54 / $180.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $29.57 / $36.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.22 / $4.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $7.98 / $43.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $29.57 / $44.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.63 / $34.63 / $34.63