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South Dakota rates for HCPCS L6900

Hand Restoration (Casts Shading And Measurements Included) Partial Hand With Glove Thumb Or One Finger Remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.95 / $1,960.95 / $1,960.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.43 / $1,850.68 / $1,960.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.82 / $1,132.82 / $2,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.25 / $2,714.25 / $3,392.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.42 / $2,229.08 / $9,810.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.25 / $1,205.93 / $2,662.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,168.76 / $2,608.30 / $3,479.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.09 / $2,645.02 / $4,984.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.22 / $1,770.43 / $2,104.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.17 / $932.69 / $1,507.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.76 / $2,323.76 / $2,323.76