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South Dakota rates for HCPCS L0200

Cervical Multiple Post Collar Occipital/Mandibular Supports Adjustable Cervical Bars And Thoracic Extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.69 / $516.69 / $516.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $430.19 / $516.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.92 / $378.92 / $780.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.19 / $862.13 / $1,077.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.04 / $727.02 / $3,116.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.71 / $401.13 / $778.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.16 / $780.73 / $1,116.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.42 / $791.73 / $1,491.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.91 / $614.55 / $730.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.26 / $338.62 / $523.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.56 / $695.56 / $695.56