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South Dakota rates for HCPCS L6000

Partial Hand Robin-Aids Thumb Remaining (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.01 / $1,781.01 / $1,781.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.38 / $1,613.57 / $1,781.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.64 / $1,020.64 / $2,274.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.17 / $2,465.25 / $3,081.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.82 / $1,960.84 / $8,461.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.33 / $1,060.81 / $1,992.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.90 / $2,274.12 / $3,060.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.64 / $2,306.15 / $4,345.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.23 / $1,557.38 / $1,851.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.33 / $1,270.65 / $2,445.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.03 / $2,026.03 / $2,026.03