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South Dakota rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.01 / $123.01 / $123.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.38 / $99.69 / $137.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.79 / $97.79 / $168.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.13 / $205.13 / $256.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.54 / $204.33 / $804.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $115.20 / $201.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.32 / $168.77 / $289.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.80 / $171.50 / $360.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.82 / $196.48 / $233.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $100.37 / $167.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.36 / $150.36 / $150.36