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South Dakota rates for HCPCS L2526

Addition To Lower Extremity Thigh/Weight Bearing Ischial Containment/Narrow M-L Brim Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.16 / $536.16 / $536.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.75 / $536.16 / $683.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.17 / $499.17 / $848.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.75 / $894.75 / $1,118.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.79 / $1,015.13 / $4,299.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.55 / $589.10 / $999.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.78 / $848.82 / $1,480.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.54 / $860.76 / $1,791.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.74 / $976.10 / $1,160.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.43 / $498.65 / $915.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.22 / $756.22 / $756.22