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South Dakota rates for HCPCS L2670

Addition to lower extremity, thoracic control, paraspinal uprights

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.52 / $133.52 / $133.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.67 / $133.52 / $175.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.31 / $124.31 / $214.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.75 / $224.98 / $278.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.92 / $260.24 / $1,000.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.05 / $146.71 / $248.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.61 / $214.81 / $368.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.49 / $218.43 / $459.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.74 / $250.23 / $297.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $127.83 / $213.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.37 / $191.37 / $191.37