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South Dakota rates for HCPCS E1816

Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.50 / $1,141.50 / $1,141.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.50 / $1,275.96 / $1,757.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $107.63 / $107.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.00 / $2,205.00 / $2,756.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.09 / $1,929.14 / $3,496.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.36 / $134.54 / $896.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.11 / $209.40 / $400.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.11 / $216.90 / $413.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $94.18 / $896.21