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South Dakota rates for HCPCS L6686

Upper extremity addition, suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.32 / $693.32 / $693.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.04 / $691.97 / $693.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.94 / $511.94 / $779.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.63 / $959.63 / $1,199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.54 / $938.31 / $3,937.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.29 / $471.34 / $840.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.09 / $779.44 / $1,359.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.36 / $790.41 / $1,489.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.05 / $691.97 / $822.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.79 / $471.34 / $589.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.41 / $694.41 / $694.41