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South Dakota rates for HCPCS L6605

Upper extremity additions, single pivot hinge, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $239.88 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $245.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $398.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $288.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78