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South Dakota rates for HCPCS L8513

Cleaning Device Used With Tracheoesophageal Voice Prosthesis Pipet Brush Or Equal Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.25 / $6.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.13 / $8.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $8.88 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.23 / $7.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $6.88 / $10.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $6.96 / $13.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $6.21 / $7.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.74 / $5.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.13 / $6.13