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South Dakota rates for HCPCS L2680

Addition to lower extremity, thoracic control, lateral support uprights

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.49 / $122.49 / $122.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.49 / $124.11 / $160.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.16 / $110.16 / $217.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.38 / $206.42 / $255.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.13 / $238.73 / $918.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $134.59 / $233.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.70 / $217.32 / $338.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.76 / $220.37 / $421.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.08 / $229.55 / $272.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $102.61 / $195.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.61 / $193.61 / $193.61