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South Dakota rates for HCPCS L2240

Addition To Lower Extremity Round Caliper And Plate Attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.70 / $79.70 / $79.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $64.41 / $79.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.37 / $81.37 / $109.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.11 / $133.13 / $166.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $108.85 / $494.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $60.06 / $111.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.81 / $109.22 / $180.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.44 / $110.74 / $208.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $92.02 / $109.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.81 / $54.85 / $111.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.30 / $97.30 / $97.30