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South Dakota rates for HCPCS L2232

Addition to lower extremity orthosis, rocker bottom for total contact ankle-foot orthosis (AFO), for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.31 / $81.31 / $81.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $80.01 / $81.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $75.70 / $128.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.75 / $137.11 / $169.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.01 / $135.22 / $547.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.63 / $74.59 / $128.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.05 / $128.74 / $202.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.43 / $130.55 / $246.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.62 / $114.30 / $135.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $77.86 / $125.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.70 / $114.70 / $114.70