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South Dakota rates for HCPCS L2300

Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $309.03 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $346.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03