go back

South Dakota rates for HCPCS L8623

Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.66 / $65.41 / $77.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $62.01 / $85.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $90.38 / $112.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.07 / $110.54 / $335.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.52 / $52.63 / $88.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.08 / $85.48 / $133.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.02 / $86.69 / $163.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $77.27 / $91.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $46.42 / $65.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $77.70 / $77.70