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South Dakota rates for HCPCS L3340

Heel wedge, SACH

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $104.71 / $194.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $112.20 / $112.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $186.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72