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South Dakota rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.43 / $81.43 / $81.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $81.43 / $85.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $75.81 / $129.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.75 / $135.75 / $169.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $144.07 / $608.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $79.50 / $137.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.82 / $129.68 / $222.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $131.52 / $247.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.03 / $121.79 / $144.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $67.48 / $117.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $115.53 / $115.53