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South Dakota rates for HCPCS L6880

Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,159.11 / $24,159.11 / $24,159.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,401.32 / $24,159.11 / $28,533.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,524.00 / $16,524.00 / $31,571.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,438.37 / $33,438.37 / $41,797.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,590.13 / $48,220.99 / $134,345.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,640.03 / $19,435.34 / $32,809.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,251.40 / $31,571.84 / $49,459.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,251.40 / $32,016.20 / $60,333.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,371.62 / $28,533.13 / $33,916.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,067.57 / $21,429.76 / $33,169.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,127.64 / $28,127.64 / $28,127.64