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South Dakota rates for HCPCS L2510

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.19 / $675.19 / $675.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.22 / $559.41 / $675.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.34 / $511.34 / $973.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.14 / $1,126.50 / $1,408.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.08 / $945.40 / $4,380.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.01 / $521.62 / $971.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.84 / $973.96 / $1,570.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.69 / $987.69 / $1,861.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.59 / $799.15 / $949.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.66 / $521.62 / $725.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.71 / $867.71 / $867.71