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South Dakota rates for HCPCS L1834

Knee orthosis (KO), without knee joint, rigid, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.64 / $607.64 / $607.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.30 / $607.64 / $631.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.73 / $565.73 / $1,038.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.00 / $1,024.14 / $1,267.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.41 / $1,026.91 / $4,661.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.03 / $588.84 / $1,037.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.84 / $1,038.92 / $1,678.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.87 / $1,053.54 / $1,985.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.56 / $902.15 / $1,072.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.40 / $471.19 / $775.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.58 / $925.58 / $925.58