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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
$92.77 / $92.77 / $92.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.02 / $92.77 / $109.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.96 / $87.96 / $121.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $128.25 / $160.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.45 / $185.16 / $475.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $74.62 / $125.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $121.23 / $189.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.29 / $122.93 / $231.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.58 / $109.56 / $130.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $74.39 / $93.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.21 / $110.21 / $110.21