go back

South Dakota rates for HCPCS L6610

Upper Extremity Additions Flexible Metal Hinge Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.17 / $223.17 / $223.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.32 / $198.67 / $223.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.35 / $172.35 / $244.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.33 / $309.00 / $386.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.91 / $237.07 / $1,046.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.05 / $135.33 / $253.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.09 / $244.27 / $383.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.04 / $247.69 / $466.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.70 / $198.67 / $236.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $135.33 / $169.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.62 / $217.62 / $217.62