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South Dakota rates for HCPCS L7045

Electric Hook Switch Or Myoelectric Controlled Pediatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.93 / $1,624.93 / $1,624.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.14 / $1,624.93 / $1,894.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.96 / $1,254.96 / $2,133.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.88 / $2,248.88 / $2,811.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.72 / $2,746.13 / $9,310.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.87 / $1,290.45 / $2,302.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.37 / $2,133.98 / $3,722.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.75 / $2,164.02 / $4,078.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.21 / $1,894.52 / $2,251.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.81 / $1,290.45 / $2,302.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.19 / $1,901.19 / $1,901.19