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South Dakota rates for HCPCS L8691

Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.36 / $1,741.36 / $1,741.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.67 / $1,741.36 / $2,056.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $1,650.90 / $2,275.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.13 / $2,410.13 / $3,012.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.60 / $3,475.76 / $9,683.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.67 / $1,544.63 / $3,413.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.19 / $2,275.67 / $3,573.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.01 / $2,822.12 / $5,386.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.66 / $2,369.48 / $2,787.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.66 / $1,299.08 / $2,598.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.80 / $2,068.80 / $2,068.80