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South Dakota rates for HCPCS L1685

Hip Orthosis Abduction Control Of Hip Joint Postoperative Hip Abduction Type Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.11 / $931.11 / $931.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.82 / $916.06 / $931.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.35 / $837.35 / $1,474.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.63 / $1,553.63 / $1,942.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.06 / $1,548.14 / $7,137.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.87 / $854.18 / $1,590.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.66 / $1,474.07 / $2,571.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.26 / $1,494.82 / $2,816.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.79 / $1,308.66 / $1,555.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.46 / $854.18 / $1,590.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.26 / $1,313.26 / $1,313.26