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South Dakota rates for HCPCS L3360

Sole wedge, outside sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.99 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $61.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $43.65 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $27.54 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $46.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $77.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $43.65 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74