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South Dakota rates for HCPCS L2192

Addition To Lower Extremity Fracture Orthosis Hip Joint Pelvic Band Thigh Flange And Pelvic Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.11 / $279.11 / $279.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $279.11 / $319.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $559.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.75 / $470.41 / $582.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.76 / $476.26 / $2,126.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.03 / $256.05 / $555.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.43 / $559.77 / $770.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.46 / $567.64 / $1,069.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.07 / $392.28 / $466.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $253.87 / $476.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.70 / $498.70 / $498.70