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South Dakota rates for HCPCS L3480

Heel Pad And Depression For Spur (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $52.16 / $52.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $51.92 / $52.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.91 / $41.91 / $82.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $87.87 / $108.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $87.74 / $349.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $39.04 / $81.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.33 / $82.17 / $128.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $83.36 / $157.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $74.17 / $88.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $39.04 / $63.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.97 / $70.97 / $70.97