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South Dakota rates for HCPCS L1650

Hip Orthosis Abduction Control Of Hip Joints Static Adjustable (Ilfled Type) Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.46 / $206.46 / $206.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.65 / $172.58 / $206.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $302.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.63 / $344.63 / $430.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.93 / $335.55 / $1,353.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.10 / $187.35 / $309.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.27 / $302.20 / $500.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.54 / $306.45 / $577.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $287.04 / $341.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.89 / $146.63 / $244.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.24 / $269.24 / $269.24