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South Dakota rates for HCPCS L7360

Six Volt Battery Otto Bock Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.50 / $267.50 / $267.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.91 / $266.54 / $267.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.54 / $170.54 / $301.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.91 / $370.13 / $462.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.84 / $350.68 / $1,456.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.73 / $181.54 / $323.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.67 / $301.48 / $523.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.90 / $305.72 / $576.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.66 / $266.54 / $316.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.62 / $181.54 / $241.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.58 / $268.58 / $268.58