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South Dakota rates for HCPCS L8627

Cochlear implant, external speech processor, component, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,244.36 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,165.95 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,912.51 / $22,908.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,623.41 / $42,657.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $9,120.11 / $9,120.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $15,135.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $5,623.41 / $9,120.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64