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South Dakota rates for HCPCS L3334

Lift Elevation Heel Per Inch (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $31.79 / $31.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.10 / $27.10 / $50.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $53.25 / $66.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.65 / $53.73 / $214.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $29.64 / $50.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.82 / $50.29 / $78.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $51.00 / $96.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $45.41 / $53.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $23.20 / $38.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $43.43 / $43.43