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South Dakota rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.07 / $1,552.07 / $1,552.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.05 / $1,380.91 / $1,568.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $2,299.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.75 / $2,589.75 / $3,237.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.46 / $2,650.70 / $11,140.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.07 / $1,462.50 / $2,480.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.75 / $2,299.21 / $4,011.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.79 / $2,331.57 / $4,393.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.85 / $2,240.65 / $2,663.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.48 / $1,157.68 / $1,907.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.39 / $2,048.39 / $2,048.39