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South Dakota rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.42 / $579.42 / $579.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.47 / $529.61 / $601.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.74 / $544.74 / $1,054.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.75 / $976.42 / $1,208.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.79 / $972.95 / $4,222.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.52 / $560.21 / $951.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.39 / $1,054.00 / $1,538.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.23 / $1,068.83 / $2,014.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.50 / $822.44 / $977.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.14 / $466.59 / $951.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.02 / $939.02 / $939.02