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South Dakota rates for HCPCS L0974

Thoracic-Lumbar-Sacral Orthotic (Tlso), Full Corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.30 / $146.30 / $146.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.99 / $137.88 / $146.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $236.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.13 / $244.13 / $305.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.85 / $233.02 / $1,062.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.36 / $134.16 / $239.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.54 / $236.38 / $387.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $239.71 / $451.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.24 / $196.97 / $234.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $111.71 / $167.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.59 / $210.59 / $210.59