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South Dakota rates for HCPCS L2230

Addition to lower extremity, split flat caliper stirrups and plate attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $52.48 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $165.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $95.50 / $177.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $56.23 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $97.72 / $97.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $169.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $47.86 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10