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South Dakota rates for HCPCS L6910

Hand Restoration (Casts Shading And Measurements Included) Partial Hand With Glove No Fingers Remaining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.93 / $1,907.93 / $1,907.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.51 / $1,786.54 / $1,907.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.53 / $1,473.53 / $2,517.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.30 / $2,640.75 / $3,300.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.24 / $2,210.44 / $9,391.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.93 / $1,141.95 / $2,409.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.59 / $2,517.90 / $3,294.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.69 / $2,553.33 / $4,811.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.00 / $1,676.51 / $1,992.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.60 / $1,290.43 / $2,505.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.21 / $2,243.21 / $2,243.21