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South Dakota rates for HCPCS L3300

Lift, elevation, heel, tapered to metatarsals, per in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.66 / $43.66 / $43.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $37.07 / $43.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.07 / $35.07 / $68.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $90.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.01 / $73.38 / $292.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.30 / $40.47 / $68.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.19 / $68.78 / $107.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $69.75 / $131.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.97 / $62.03 / $73.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $31.69 / $52.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $59.40 / $59.40