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South Dakota rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Facilitymedian $302 · 10th–90th $269$6030%20%40%10th90th$302Professionalmedian $302 · 10th–90th $158$4790%10%20%10th90th$302$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
$263.03
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$245.47
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$389.05
Midlands
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$645.65
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74