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South Dakota rates for HCPCS L8616

Microphone For Use With Cochlear Implant Device Replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.21 / $106.21 / $106.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.50 / $106.21 / $125.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.70 / $100.70 / $138.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $148.47 / $183.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.02 / $211.96 / $544.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $85.43 / $144.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.43 / $138.82 / $217.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.69 / $140.77 / $265.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.13 / $125.42 / $149.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.26 / $85.18 / $134.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.20 / $126.20 / $126.20