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South Dakota rates for HCPCS L8621

Zinc Air Battery For Use With Cochlear Implant Device And Auditory Osseointegrated Sound Processors Replacement Each (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.62 / $0.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.76 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.27 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.51 / $0.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.83 / $1.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.83 / $1.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.75 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.45 / $0.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75