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South Dakota rates for HCPCS L2080

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.42 / $312.42 / $312.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.63 / $277.00 / $312.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.20 / $253.20 / $484.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.53 / $521.25 / $651.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.92 / $468.13 / $2,141.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.43 / $258.29 / $482.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.77 / $484.40 / $777.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.72 / $491.20 / $925.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.01 / $395.72 / $470.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.29 / $235.85 / $517.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.55 / $431.55 / $431.55