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South Dakota rates for HCPCS L4060

Replace High Roll Cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.01 / $272.01 / $272.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.63 / $272.01 / $326.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.07 / $227.07 / $405.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.75 / $453.75 / $567.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.50 / $484.83 / $1,873.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $273.33 / $461.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.24 / $405.58 / $687.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.24 / $411.31 / $855.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.19 / $466.19 / $554.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $208.39 / $396.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.27 / $350.27 / $350.27