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South Dakota rates for HCPCS L8680

Implantable neurostimulator electrode, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $380.19 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $371.54 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $199.53 / $371.54