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South Dakota rates for HCPCS L1960

Ankle Foot Orthosis Posterior Solid Ankle Plastic Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.94 / $518.94 / $518.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.28 / $412.55 / $518.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.66 / $523.66 / $686.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.88 / $865.88 / $1,082.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.87 / $721.41 / $3,359.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.78 / $415.38 / $741.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.15 / $686.91 / $1,198.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.57 / $696.57 / $1,312.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.87 / $609.82 / $724.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.78 / $415.38 / $858.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.97 / $611.97 / $611.97