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South Dakota rates for HCPCS 77334

Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $162.18 / $891.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $95.50 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $144.54 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $162.18 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $177.83 / $288.40
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $112.20 / $199.53
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $97.72 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $141.25 / $141.25
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $147.91 / $147.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $223.87 / $251.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $102.33 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $123.03 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $288.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $85.11 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $117.49 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $275.42
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $131.83 / $131.83
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $144.54 / $144.54