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South Dakota rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.44 / $340.44 / $340.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.31 / $340.44 / $343.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $379.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.76 / $471.38 / $589.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.49 / $436.37 / $1,746.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $234.18 / $399.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.60 / $379.57 / $645.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.88 / $384.92 / $725.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.64 / $343.80 / $408.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $223.63 / $297.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.16 / $338.16 / $338.16