go back

South Dakota rates for HCPCS L8617

Transmitting coil for use with cochlear implant device, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $81.28 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $117.49 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $120.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $199.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $74.13 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65