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South Dakota rates for HCPCS L2180

Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.99 / $110.99 / $110.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.52 / $110.99 / $117.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.32 / $103.32 / $146.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.25 / $185.25 / $231.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.45 / $174.48 / $709.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $100.72 / $171.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.61 / $146.26 / $253.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.41 / $148.30 / $308.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $167.78 / $199.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.54 / $85.71 / $142.85
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.30 / $130.30 / $130.30