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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
$2,818.38 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,818.38 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,168.69 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $19,054.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,168.69 / $4,168.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $6,918.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,890.45 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35