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South Dakota rates for HCPCS L8629

Transmitting coil and cable, integrated, for use with cochlear implant device, replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.05 / $181.05 / $181.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.91 / $181.05 / $213.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.65 / $171.65 / $236.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.50 / $250.50 / $313.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.06 / $361.36 / $1,006.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.23 / $145.65 / $245.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.77 / $236.64 / $370.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.79 / $239.96 / $452.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.65 / $213.82 / $254.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $128.47 / $182.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.13 / $215.13 / $215.13