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South Dakota rates for HCPCS L6680

Upper Extremity Addition Test Socket Wrist Disarticulation Or Below Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.98 / $310.98 / $310.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.71 / $288.00 / $310.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.64 / $177.64 / $318.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.92 / $430.50 / $538.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.21 / $357.40 / $1,523.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $196.17 / $330.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.50 / $318.11 / $534.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.52 / $322.58 / $607.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.00 / $288.00 / $342.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.77 / $196.17 / $490.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.41 / $283.41 / $283.41