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South Dakota rates for HCPCS L8465

Prosthetic shrinker, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.93 / $61.93 / $61.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $57.17 / $61.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.25 / $37.25 / $64.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $85.88 / $107.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.64 / $75.08 / $304.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.33 / $38.95 / $69.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.55 / $64.39 / $112.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $65.31 / $123.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $57.17 / $67.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.87 / $38.94 / $51.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $57.37 / $57.37