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South Dakota rates for HCPCS L8440

Prosthetic shrinker, below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.27 / $47.13 / $49.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.77 / $34.77 / $55.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $65.25 / $81.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $64.98 / $268.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $37.72 / $59.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.02 / $55.35 / $96.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.34 / $56.14 / $105.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.87 / $49.02 / $58.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $33.39 / $41.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.31 / $49.31 / $49.31