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South Dakota rates for HCPCS L6630

Upper Extremity Addition Stainless Steel Any Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.89 / $288.89 / $288.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.89 / $252.61 / $288.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $284.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.73 / $399.75 / $499.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.58 / $342.84 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.05 / $172.06 / $307.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.59 / $284.55 / $496.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.04 / $288.54 / $543.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.76 / $252.61 / $300.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.04 / $172.06 / $307.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.51 / $253.51 / $253.51