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South Dakota rates for HCPCS E0676

Intermittent limb compression device (includes all accessories), not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $495.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.00 / $1,104.00 / $1,380.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.00 / $741.00 / $926.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $760.50 / $760.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.20 / $207.20 / $207.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.16 / $207.20 / $216.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00