go back

South Dakota rates for HCPCS L8627

Cochlear implant, external speech processor, component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.94 / $7,213.94 / $7,213.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,458.79 / $7,213.94 / $8,275.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,751.45 / $4,751.45 / $9,102.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,984.75 / $9,984.75 / $12,480.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.92 / $13,985.87 / $39,447.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,376.04 / $5,636.97 / $9,459.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.85 / $9,102.84 / $14,592.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,455.29 / $9,230.96 / $17,395.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,068.67 / $8,275.66 / $9,836.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.33 / $5,058.10 / $7,046.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,275.31 / $8,275.31 / $8,275.31