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South Dakota rates for HCPCS L8690

Auditory osseointegrated device, includes all internal and external components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,810.22 / $4,810.22 / $4,810.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,460.25 / $4,810.22 / $5,681.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,536.46 / $4,536.46 / $6,286.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,657.75 / $6,657.75 / $8,322.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.28 / $9,601.18 / $26,749.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.62 / $3,869.73 / $6,532.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,226.83 / $6,286.16 / $9,847.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,148.39 / $6,374.63 / $12,012.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.59 / $5,681.17 / $6,752.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.52 / $3,413.46 / $4,837.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,714.69 / $5,714.69 / $5,714.69