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South Dakota rates for HCPCS L2035

Knee Ankle Foot Orthosis Full Plastic Static (Pediatric Size) Without Free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.04 / $145.04 / $145.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.46 / $144.26 / $145.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.05 / $147.05 / $228.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.88 / $244.29 / $302.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.91 / $227.78 / $981.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $134.50 / $227.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.95 / $228.45 / $360.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $231.66 / $436.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.01 / $206.08 / $244.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $109.21 / $208.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.53 / $203.53 / $203.53