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South Dakota rates for HCPCS L2210

Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.62 / $52.62 / $52.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $47.57 / $69.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $83.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $87.75 / $109.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.27 / $102.55 / $399.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $57.82 / $96.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $83.30 / $145.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.43 / $86.08 / $181.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.22 / $98.60 / $117.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.58 / $59.92 / $80.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $74.22 / $74.22