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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
$1,258.93 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,905.46 / $4,570.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $1,949.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $3,090.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,819.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80