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South Dakota rates for HCPCS L6025

Part hand disart myoelectric

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,260.62 / $9,353.23 / $11,575.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,970.40 / $11,970.40 / $11,970.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,325.11 / $9,906.61 / $15,800.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,388.10 / $8,388.10 / $8,388.10