go back

South Dakota rates for HCPCS L6715

Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.39 / $3,192.39 / $3,192.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.11 / $3,192.39 / $3,770.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $4,171.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.63 / $4,418.63 / $5,523.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.35 / $6,371.91 / $17,752.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.11 / $2,568.17 / $4,335.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.86 / $4,171.89 / $6,535.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,468.86 / $4,230.62 / $7,972.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,220.47 / $3,770.36 / $4,481.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.32 / $2,265.37 / $3,210.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,716.79 / $3,716.79 / $3,716.79