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South Dakota rates for HCPCS L1070

Addi To Cervic-Thoracic-Lumbar-Sacral Orthotic (Ctlso) Or Scol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.92 / $93.92 / $93.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $69.30 / $93.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.42 / $87.42 / $111.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.22 / $156.75 / $195.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.30 / $117.12 / $540.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.39 / $64.62 / $120.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.72 / $111.52 / $194.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.32 / $113.08 / $213.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $99.00 / $117.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $59.00 / $84.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.35 / $99.35 / $99.35