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South Dakota rates for HCPCS L8681

Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.24 / $1,153.24 / $1,153.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.24 / $1,264.47 / $1,347.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.08 / $809.08 / $1,899.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.00 / $1,611.96 / $1,995.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.79 / $1,948.98 / $5,928.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.84 / $861.30 / $1,618.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.04 / $1,899.07 / $2,484.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.35 / $1,925.80 / $3,629.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.05 / $1,264.47 / $1,503.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.79 / $861.30 / $1,076.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.79 / $1,553.79 / $1,553.79