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South Dakota rates for HCPCS L2810

Addition To Lower Extremity Orthosis Knee Control Condylar Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.37 / $68.37 / $68.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $60.15 / $68.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $65.90 / $96.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.16 / $114.00 / $142.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.15 / $101.65 / $473.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $56.09 / $104.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $96.79 / $168.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.27 / $98.15 / $184.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.40 / $85.93 / $102.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $48.73 / $73.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $86.23 / $86.23