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South Dakota rates for HCPCS L8630

Metacarpophalangeal joint implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.60 / $451.60 / $451.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.60 / $451.60 / $519.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $252.68 / $444.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.13 / $631.38 / $781.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.20 / $763.20 / $2,076.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.77 / $319.95 / $505.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.84 / $444.81 / $775.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.74 / $453.12 / $952.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.40 / $519.11 / $617.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.96 / $303.95 / $441.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.28 / $396.28 / $396.28