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South Dakota rates for HCPCS L8689

External recharging system for battery (internal) for use with implantable neurostimulator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.20 / $1,744.20 / $1,744.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.31 / $1,744.20 / $2,059.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.68 / $1,162.68 / $2,279.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.25 / $2,414.25 / $3,017.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.06 / $2,947.70 / $9,699.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.37 / $1,403.15 / $2,368.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.27 / $2,279.40 / $3,570.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.82 / $2,311.46 / $4,355.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.54 / $2,059.98 / $2,448.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.84 / $1,398.65 / $1,753.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.96 / $1,864.96 / $1,864.96