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South Dakota rates for HCPCS L6711

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.81 / $679.81 / $679.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.37 / $679.81 / $801.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.23 / $525.23 / $888.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.88 / $940.88 / $1,176.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.54 / $1,354.26 / $3,779.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.91 / $545.83 / $923.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.71 / $888.43 / $1,391.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.63 / $900.93 / $1,697.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.47 / $801.34 / $952.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.22 / $482.29 / $682.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.51 / $791.51 / $791.51