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South Dakota rates for HCPCS L0190

Cervical Multiple Post Collar Occipital/Mandibular Supports Adjustable Cervical Bars (Somi Guilford Taylor Types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.45 / $445.45 / $445.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.38 / $396.12 / $445.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.04 / $419.04 / $650.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.65 / $743.25 / $929.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.00 / $669.44 / $2,961.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.85 / $369.36 / $662.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.71 / $650.29 / $1,070.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.61 / $659.46 / $1,242.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.35 / $565.88 / $672.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $309.08 / $494.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.36 / $579.36 / $579.36