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South Dakota rates for HCPCS L2750

Addition To Lower Extremity Orthosis Plating Chrome Or Nickel Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.42 / $65.42 / $65.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $65.33 / $65.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.84 / $58.84 / $114.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.13 / $110.22 / $136.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.08 / $108.79 / $476.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $60.02 / $114.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.13 / $114.40 / $180.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.70 / $116.02 / $218.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.55 / $91.95 / $109.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $54.81 / $94.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $101.92 / $101.92