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South Dakota rates for HCPCS L8695

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $16.86 / $16.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $16.86 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.23 / $11.23 / $22.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $23.25 / $29.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $33.63 / $86.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $13.56 / $22.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $22.06 / $34.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $22.36 / $42.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $19.89 / $23.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $11.95 / $16.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05