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South Dakota rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $20.83 / $25.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $27.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $36.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.43 / $31.93 / $132.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $17.48 / $29.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.25 / $27.97 / $47.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $28.36 / $53.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $25.66 / $30.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $16.54 / $21.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $24.92 / $24.92