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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
$210.76 / $210.76 / $210.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.86 / $207.35 / $210.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.21 / $196.21 / $346.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.75 / $351.75 / $439.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.25 / $350.42 / $1,587.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.84 / $193.34 / $360.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.08 / $346.46 / $582.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.75 / $351.34 / $662.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.01 / $296.22 / $352.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.84 / $201.77 / $333.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.66 / $308.66 / $308.66