go back

South Dakota rates for HCPCS L8615

Headset/headpiece for use with cochlear implant device, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.04 / $456.04 / $456.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.86 / $456.04 / $538.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.32 / $388.32 / $595.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.13 / $631.13 / $788.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.82 / $910.30 / $2,338.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.74 / $366.89 / $619.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.54 / $595.97 / $933.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.10 / $604.35 / $1,138.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.08 / $538.64 / $640.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.04 / $323.62 / $458.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.79 / $541.79 / $541.79