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South Dakota rates for HCPCS A5508

For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $78.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.90 / $50.70 / $82.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $188.65 / $188.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.29 / $78.29 / $78.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $71.09 / $78.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.65 / $188.65 / $188.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40