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South Dakota rates for HCPCS L6721

Terminal Device Hook Or Hand Heavy Duty Mechanical Voluntary Opening Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.23 / $2,378.23 / $2,378.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.19 / $2,378.23 / $2,803.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.92 / $1,584.92 / $3,107.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,291.75 / $3,291.75 / $4,114.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.35 / $4,737.37 / $13,221.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.55 / $1,909.38 / $3,229.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,584.19 / $3,107.93 / $4,867.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.42 / $3,151.68 / $5,939.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.34 / $2,803.18 / $3,332.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.80 / $1,687.21 / $2,386.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,768.88 / $2,768.88 / $2,768.88