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South Dakota rates for HCPCS K1022

Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.50 / $825.68 / $1,021.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.60 / $1,065.60 / $1,065.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.52 / $1,029.52 / $1,029.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.52 / $1,029.52 / $1,029.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.08 / $723.53 / $723.53