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South Dakota rates for HCPCS L2070

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.94 / $129.94 / $129.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.53 / $103.57 / $129.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.63 / $132.63 / $172.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.13 / $216.75 / $270.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.19 / $175.03 / $797.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $100.78 / $179.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.46 / $172.54 / $290.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.31 / $174.97 / $329.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.38 / $147.96 / $175.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $88.19 / $179.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.71 / $153.71 / $153.71