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South Dakota rates for HCPCS L6550

Shoulder Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,573.70 / $4,573.70 / $4,573.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,841.43 / $4,573.70 / $5,926.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.34 / $3,532.34 / $5,414.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,330.38 / $6,330.38 / $7,912.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,386.44 / $6,163.63 / $24,019.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.26 / $3,621.34 / $6,068.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,501.64 / $5,414.01 / $8,783.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,901.97 / $5,490.21 / $10,879.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.21 / $5,926.59 / $7,044.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.82 / $3,440.27 / $5,460.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,823.39 / $4,823.39 / $4,823.39