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South Dakota rates for HCPCS L8460

Prosthetic shrinker, above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.00 / $67.00 / $67.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $67.00 / $78.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.74 / $51.74 / $87.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $93.55 / $115.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.91 / $103.62 / $426.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.87 / $53.21 / $94.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.16 / $87.99 / $153.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $89.24 / $168.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $78.12 / $92.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.25 / $53.21 / $66.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.39 / $78.39 / $78.39