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South Dakota rates for HCPCS L3410

Metatarsal bar wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.72 / $77.72 / $77.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.94 / $77.34 / $77.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $122.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.75 / $129.75 / $162.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.35 / $130.69 / $520.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.07 / $72.09 / $122.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.83 / $122.47 / $191.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.28 / $124.18 / $234.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.35 / $110.48 / $131.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $56.44 / $94.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.77 / $105.77 / $105.77