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South Dakota rates for HCPCS L6020

Partial Hand No Finger Remaining (Revised 010112)Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.88 / $1,847.88 / $1,847.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.64 / $1,721.89 / $1,847.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.14 / $1,427.14 / $2,426.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.67 / $2,557.50 / $3,196.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.64 / $2,068.19 / $8,775.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.11 / $1,118.88 / $2,101.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.82 / $2,426.78 / $3,175.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.38 / $2,460.92 / $4,637.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.05 / $1,642.64 / $1,952.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.34 / $1,118.88 / $2,537.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.04 / $2,162.04 / $2,162.04