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South Dakota rates for HCPCS 29505

Application of long leg splint (thigh to ankle or toes)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.77 / $91.25 / $182.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $71.95 / $207.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.03 / $149.97 / $271.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.01 / $120.86 / $213.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.40 / $194.46 / $675.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.79 / $152.80 / $219.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $137.52 / $219.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.65 / $108.06 / $183.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $152.05 / $236.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $126.40 / $222.20