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South Dakota rates for HCPCS L8605

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.93 / $1,760.93 / $1,760.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.74 / $1,496.79 / $1,760.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.77 / $482.77 / $946.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.38 / $1,012.40 / $1,252.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.87 / $2,678.38 / $4,342.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.93 / $582.61 / $983.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.93 / $946.42 / $1,482.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.93 / $959.74 / $1,808.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.57 / $855.34 / $1,016.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.80 / $580.74 / $916.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.34 / $774.34 / $774.34