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South Dakota rates for HCPCS L0130

Cervical, flexible, thermoplastic collar, molded to patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.79 / $127.79 / $127.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $115.47 / $127.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.23 / $126.23 / $202.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.38 / $213.38 / $266.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.65 / $212.35 / $1,009.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $122.26 / $218.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.11 / $202.18 / $352.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $205.03 / $386.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.31 / $179.50 / $213.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $106.98 / $162.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.12 / $180.12 / $180.12