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South Dakota rates for HCPCS L8630

Metacarpophalangeal joint implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $316.23 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $446.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $954.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $549.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11