go back

South Dakota rates for HCPCS L8614

Cochlear device, includes all internal and external components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,798.34 / $19,798.34 / $19,798.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,773.45 / $19,798.34 / $22,756.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,034.23 / $13,034.23 / $25,049.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,402.38 / $27,402.38 / $34,252.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,766.75 / $38,457.94 / $100,282.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,283.34 / $15,500.37 / $26,031.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,828.15 / $25,049.43 / $40,029.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,515.61 / $25,402.00 / $47,868.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,437.25 / $22,756.18 / $27,049.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,148.24 / $13,875.42 / $19,375.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,772.21 / $22,772.21 / $22,772.21