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South Dakota rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,272.94 / $5,272.94 / $5,272.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,203.78 / $5,211.75 / $5,272.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $4,072.36 / $5,924.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,802.92 / $7,298.25 / $9,122.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.79 / $6,871.11 / $28,628.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.12 / $3,549.98 / $6,334.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,926.27 / $5,924.70 / $10,241.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.34 / $6,008.07 / $11,321.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,451.62 / $5,211.75 / $6,194.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.69 / $3,549.98 / $4,729.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,278.37 / $5,278.37 / $5,278.37