go back

South Dakota rates for HCPCS L8679

Implantable neurostimulator, pulse generator, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,664.24 / $8,664.24 / $8,664.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,899.72 / $8,664.24 / $10,072.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,687.89 / $5,687.89 / $11,133.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,992.13 / $11,992.13 / $14,990.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,129.64 / $17,023.12 / $44,565.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,109.20 / $6,861.12 / $11,570.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,257.44 / $11,133.66 / $17,468.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,101.09 / $11,570.12 / $26,391.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,603.75 / $10,072.85 / $11,973.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,555.74 / $6,054.97 / $8,576.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,109.36 / $9,109.36 / $9,109.36