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South Dakota rates for HCPCS L1310

Other scoliosis procedure, postoperative body jacket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.83 / $1,502.83 / $1,502.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.78 / $1,502.83 / $1,692.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.15 / $1,399.15 / $2,375.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.63 / $2,507.63 / $3,134.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,607.97 / $2,515.19 / $10,269.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.19 / $1,478.37 / $2,476.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.41 / $2,375.77 / $3,716.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.01 / $2,409.19 / $4,540.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.73 / $2,418.46 / $2,874.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.07 / $1,647.34 / $2,298.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.59 / $2,116.59 / $2,116.59