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South Dakota rates for HCPCS L6805

Addition to terminal device, modifier wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.81 / $387.81 / $387.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.81 / $407.77 / $417.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.52 / $299.52 / $574.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.63 / $541.99 / $670.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.17 / $525.99 / $2,143.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.28 / $284.31 / $541.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.85 / $574.71 / $783.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.76 / $582.79 / $1,098.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.52 / $417.40 / $496.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.52 / $271.64 / $355.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.01 / $512.01 / $512.01