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South Dakota rates for HCPCS 29055

Application Cast Shoulder Spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.94 / $135.94 / $229.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $196.60 / $352.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.91 / $390.52 / $676.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.62 / $315.54 / $538.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.64 / $497.00 / $1,697.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $343.50 / $564.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.66 / $358.82 / $564.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.01 / $273.73 / $459.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.99 / $435.12 / $606.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.50 / $332.10 / $557.50