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South Dakota rates for HCPCS 29358

Application of long leg cast brace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.23 / $101.23 / $164.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $140.44 / $299.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.98 / $290.20 / $481.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.78 / $231.86 / $384.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.75 / $359.17 / $1,217.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.66 / $260.38 / $416.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.66 / $274.13 / $416.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $210.06 / $327.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.27 / $281.48 / $437.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.50 / $246.60 / $397.30