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South Dakota rates for HCPCS L6707

Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.68 / $1,498.68 / $1,498.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.57 / $1,498.68 / $1,675.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.83 / $1,260.83 / $1,945.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.13 / $2,074.13 / $2,592.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.79 / $2,831.00 / $8,127.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.38 / $1,141.02 / $2,022.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.85 / $1,945.74 / $2,962.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.56 / $1,973.13 / $3,718.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.84 / $1,675.15 / $1,991.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.97 / $1,026.78 / $1,426.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.47 / $1,733.47 / $1,733.47