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South Dakota rates for HCPCS L2310

Addition to lower extremity, abduction bar, straight

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.30 / $96.30 / $96.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $96.30 / $102.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.65 / $89.65 / $152.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $160.50 / $200.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.83 / $173.78 / $737.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $95.88 / $164.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.76 / $152.46 / $265.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.22 / $154.60 / $291.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.48 / $146.90 / $174.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $76.76 / $125.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.83 / $135.83 / $135.83