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South Dakota rates for HCPCS L2340

Addition to lower extremity, pretibial shell, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.85 / $349.85 / $349.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.41 / $318.32 / $349.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.76 / $319.76 / $557.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.88 / $589.71 / $729.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.28 / $581.70 / $2,697.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.59 / $320.94 / $597.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.47 / $557.40 / $966.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.50 / $565.25 / $1,065.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.00 / $491.71 / $584.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $278.88 / $431.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.60 / $496.60 / $496.60