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South Dakota rates for HCPCS 29720

Repair of spica, body cast or jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.40 / $42.40 / $87.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $75.09 / $132.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $120.76 / $259.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.93 / $112.64 / $205.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $190.21 / $648.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.80 / $131.38 / $221.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.94 / $127.40 / $221.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.15 / $105.12 / $175.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $149.27 / $232.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.40 / $104.40 / $212.80