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South Dakota rates for HCPCS L3330

Lift Elevation Metal Extension (Skate) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.78 / $473.78 / $473.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.25 / $471.23 / $473.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $746.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.50 / $790.50 / $988.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.95 / $796.38 / $3,175.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.63 / $439.40 / $744.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.60 / $746.37 / $1,168.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.28 / $756.88 / $1,426.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $673.18 / $800.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.95 / $458.54 / $681.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.59 / $644.59 / $644.59