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South Dakota rates for HCPCS L6637

Upper extremity addition, nudge control elbow lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.78 / $408.78 / $408.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.74 / $408.78 / $430.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.70 / $315.70 / $514.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.79 / $565.88 / $707.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.41 / $557.37 / $2,274.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.58 / $293.16 / $534.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.43 / $514.05 / $845.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.00 / $521.28 / $982.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.62 / $430.39 / $511.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $293.16 / $390.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.98 / $457.98 / $457.98