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South Dakota rates for HCPCS L2280

Addition to lower extremity, molded inner boot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.60 / $472.60 / $472.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.38 / $320.45 / $472.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.45 / $361.45 / $561.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.27 / $788.63 / $985.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.73 / $589.35 / $2,665.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.23 / $339.33 / $605.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.58 / $561.14 / $978.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.59 / $569.04 / $1,072.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.52 / $498.18 / $592.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.27 / $296.91 / $605.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.93 / $499.93 / $499.93