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South Dakota rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.31 / $396.31 / $396.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.62 / $396.31 / $436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $645.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.13 / $667.74 / $826.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.00 / $669.41 / $2,777.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.48 / $396.86 / $643.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.70 / $645.47 / $997.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.69 / $654.57 / $1,233.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.02 / $622.86 / $740.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $318.20 / $530.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.04 / $575.04 / $575.04