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South Dakota rates for HCPCS L8619

Coch Imp Ext Proc/Contr Rplc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,499.20 / $8,499.20 / $8,499.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,630.00 / $8,499.20 / $9,769.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,957.05 / $7,957.05 / $10,753.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,763.75 / $11,763.75 / $14,704.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,915.01 / $16,509.73 / $43,045.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,985.27 / $6,654.20 / $11,175.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,941.36 / $10,753.52 / $17,182.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,807.20 / $10,904.89 / $20,549.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,344.27 / $9,769.07 / $11,612.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,497.54 / $5,955.87 / $8,317.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,775.93 / $9,775.93 / $9,775.93