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South Dakota rates for HCPCS L2530

Addition to lower extremity, thigh/weight bearing, lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.77 / $200.77 / $200.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.77 / $200.77 / $241.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.40 / $165.40 / $320.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.88 / $334.88 / $418.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.35 / $358.45 / $1,428.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $202.08 / $352.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.11 / $320.02 / $507.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.77 / $324.55 / $632.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.39 / $344.66 / $409.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.05 / $234.77 / $332.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.12 / $285.12 / $285.12