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South Dakota rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Facilitymedian $200 · 10th–90th $162$3390%20%40%10th90th$200Professionalmedian $191 · 10th–90th $102$2880%10%10th90th$191$100.0$200.0$500.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$257.04
Midlands
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$346.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09