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South Dakota rates for HCPCS L6712

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.70 / $1,251.70 / $1,251.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.63 / $1,251.70 / $1,475.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.10 / $967.10 / $1,635.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.50 / $1,732.50 / $2,165.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.04 / $2,493.34 / $6,958.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.87 / $1,004.94 / $1,699.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.11 / $1,635.76 / $2,561.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.70 / $1,658.79 / $3,125.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.18 / $1,475.35 / $1,753.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.47 / $888.00 / $1,256.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.31 / $1,457.31 / $1,457.31