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South Dakota rates for HCPCS L0980

Peroneal straps, prefabricated, off-the-shelf, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $13.45 / $14.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.34 / $13.34 / $21.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $30.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $22.73 / $101.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $12.54 / $23.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $21.64 / $37.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $21.95 / $41.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $19.21 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $13.09 / $22.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $19.28 / $19.28