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South Dakota rates for HCPCS L6722

Terminal Device Hook Or Hand Heavy Duty Mechanical Voluntary Closing Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.17 / $2,050.17 / $2,050.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.04 / $2,050.17 / $2,416.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.32 / $1,366.32 / $2,679.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,837.63 / $2,837.63 / $3,547.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.73 / $4,084.02 / $11,410.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.84 / $1,646.05 / $2,784.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.78 / $2,679.28 / $4,196.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.34 / $2,716.99 / $5,120.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.11 / $2,416.58 / $2,872.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.14 / $1,454.50 / $2,595.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.00 / $2,387.00 / $2,387.00