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South Dakota rates for HCPCS 29000

Application Halo Type Body Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.41 / $357.06 / $357.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.21 / $307.55 / $573.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.52 / $538.54 / $1,056.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.76 / $438.98 / $765.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.25 / $697.70 / $2,657.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $456.73 / $819.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.60 / $520.02 / $783.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.20 / $435.37 / $730.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.25 / $553.25 / $926.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.50 / $479.00 / $886.50