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South Dakota rates for HCPCS L3310

Lift, elevation, heel and sole, neoprene, per in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.15 / $68.15 / $68.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $67.77 / $68.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.58 / $66.58 / $107.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.63 / $113.63 / $142.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $114.53 / $456.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $63.19 / $107.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $107.38 / $168.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.92 / $108.88 / $205.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.70 / $96.81 / $115.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $51.00 / $98.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.74 / $92.74 / $92.74