go back

South Dakota rates for HCPCS L8699

Prosthetic implant, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.20 / $7,605.00 / $15,989.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $2,088.90 / $8,977.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $269.89 / $269.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $269.89 / $269.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.60 / $1,188.00 / $1,521.66