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South Dakota rates for HCPCS L8600

Implantable breast prosthesis, silicone or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,137.96 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $831.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,023.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31