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South Dakota rates for HCPCS L7040

Prehensile Actuator,Switch Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,075.58 / $3,075.58 / $3,075.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,710.35 / $3,075.58 / $3,304.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.33 / $2,375.33 / $3,819.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,257.00 / $4,257.00 / $5,321.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,859.23 / $5,197.72 / $16,837.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.02 / $2,250.78 / $4,015.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,176.18 / $3,819.90 / $6,493.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.51 / $3,873.66 / $7,299.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,822.45 / $3,304.39 / $3,927.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.76 / $2,250.78 / $2,813.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,403.19 / $3,403.19 / $3,403.19