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South Dakota rates for HCPCS L8693

Auditory Osseointegrated Device Abutment Any Length Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.24 / $1,533.24 / $1,533.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.73 / $1,533.24 / $1,810.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.07 / $1,022.07 / $2,003.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,122.13 / $2,122.13 / $2,652.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.75 / $3,060.34 / $7,863.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.74 / $1,233.46 / $2,082.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.08 / $2,003.75 / $3,138.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.07 / $2,031.95 / $3,829.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.74 / $1,810.85 / $2,152.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.94 / $1,229.49 / $1,541.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.59 / $1,821.59 / $1,821.59