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South Dakota rates for HCPCS L7170

Electronic Elbow,Osmer Or Equal, Switch Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,082.33 / $6,082.33 / $6,082.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,492.79 / $6,082.33 / $7,211.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,697.47 / $4,697.47 / $7,741.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,418.37 / $8,502.56 / $10,522.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,074.03 / $10,311.86 / $35,737.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,941.74 / $4,911.82 / $8,352.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,436.83 / $7,741.39 / $13,505.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,340.24 / $7,850.36 / $14,793.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,159.34 / $7,211.09 / $8,571.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,749.08 / $4,681.33 / $6,236.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,896.88 / $6,896.88 / $6,896.88