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South Dakota rates for HCPCS L2550

Addition To Lower Extremity Thigh/Weight Bearing High Roll Cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.85 / $284.85 / $284.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.26 / $284.85 / $294.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.08 / $268.08 / $355.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.13 / $475.13 / $593.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.99 / $438.16 / $1,700.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.41 / $247.02 / $404.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.94 / $355.93 / $620.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.26 / $367.74 / $773.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.86 / $421.31 / $500.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.52 / $286.73 / $430.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.10 / $317.10 / $317.10