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South Dakota rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.58 / $1,058.58 / $1,058.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.58 / $1,206.80 / $1,629.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.50 / $2,047.50 / $2,559.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.63 / $1,725.72 / $3,306.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $124.77 / $831.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.47 / $194.19 / $371.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $201.13 / $383.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $146.79 / $831.11