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South Dakota rates for HCPCS L3460

Heel, new rubber, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.76 / $28.76 / $28.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.86 / $28.62 / $28.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $23.09 / $45.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $60.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.29 / $48.37 / $192.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $26.67 / $45.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.64 / $45.28 / $70.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $45.91 / $86.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $40.88 / $48.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $20.88 / $34.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $39.10 / $39.10