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South Dakota rates for HCPCS L8641

Metatarsal joint implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.91 / $351.91 / $351.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.92 / $547.05 / $912.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.38 / $373.38 / $462.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.13 / $492.00 / $608.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.88 / $782.30 / $2,188.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.79 / $332.43 / $525.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.27 / $462.17 / $806.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.45 / $477.51 / $1,004.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.27 / $547.05 / $650.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $279.47 / $465.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.75 / $411.75 / $411.75