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South Dakota rates for HCPCS 29515

Application Short Leg Splint Calf Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $271.39 / $409.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.13 / $66.62 / $233.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.50 / $142.19 / $216.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $106.05 / $171.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $162.90 / $544.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.98 / $122.99 / $184.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.50 / $130.24 / $184.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $98.33 / $146.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $143.96 / $196.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $119.40 / $177.50