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South Dakota rates for HCPCS L8659

Interphalangeal finger joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.22 / $1,951.22 / $1,951.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.26 / $1,951.22 / $2,304.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $2,549.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.75 / $2,700.75 / $3,375.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.84 / $3,297.56 / $10,007.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.12 / $1,569.70 / $2,649.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.21 / $2,549.92 / $3,994.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.41 / $2,585.81 / $4,872.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.39 / $2,304.48 / $2,739.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.11 / $1,504.18 / $2,329.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.75 / $2,271.75 / $2,271.75