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South Dakota rates for HCPCS L6713

Terminal Device Hand Mechanical Voluntary Opening Any Material Any Size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.73 / $1,579.73 / $1,579.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.77 / $1,579.73 / $1,862.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.56 / $1,329.56 / $2,064.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.63 / $2,208.48 / $2,733.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $3,146.86 / $8,782.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.62 / $1,268.33 / $2,145.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.53 / $2,064.41 / $3,233.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.78 / $2,093.48 / $3,945.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.47 / $1,862.05 / $2,213.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.14 / $1,120.74 / $1,585.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.21 / $1,839.21 / $1,839.21