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South Dakota rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Facilitymedian $537 · 10th–90th $537–$1,0470%20%40%90th$537Professionalmedian $562 · 10th–90th $372–$9330%10%20%10th90th$562$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $645.65 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $707.95
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96