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South Dakota rates for HCPCS L8642

Hallux implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.66 / $314.66 / $314.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.66 / $354.63 / $358.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $302.83 / $499.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.38 / $439.73 / $544.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.50 / $531.78 / $1,623.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.09 / $243.91 / $457.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.58 / $499.81 / $653.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.18 / $506.84 / $955.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.88 / $358.08 / $425.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.12 / $243.91 / $304.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.28 / $445.28 / $445.28