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South Dakota rates for HCPCS L8631

Metacarpophalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.35 / $2,224.35 / $2,224.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.40 / $2,224.35 / $2,587.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.94 / $1,482.94 / $2,868.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.75 / $3,078.75 / $3,848.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.43 / $3,759.15 / $11,409.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.51 / $1,762.38 / $2,981.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.21 / $2,868.65 / $4,554.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.42 / $2,909.00 / $5,481.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.00 / $2,587.37 / $3,075.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.05 / $1,578.65 / $2,202.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,555.69 / $2,555.69 / $2,555.69