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South Dakota rates for HCPCS L6905

Hand Restoration (Casts Shading And Measurements Included) Partial Hand With Glove Multiple Fingers Remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.79 / $1,940.79 / $1,940.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.69 / $1,720.91 / $1,940.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.90 / $1,498.90 / $2,071.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.30 / $2,686.13 / $3,357.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.89 / $2,268.69 / $9,517.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.04 / $1,172.19 / $2,152.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.28 / $2,071.33 / $3,381.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.43 / $2,100.48 / $3,958.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.92 / $1,720.91 / $2,045.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.36 / $1,172.19 / $1,561.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.37 / $1,845.37 / $1,845.37