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South Dakota rates for HCPCS L3485

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $8.61 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.37 / $28.37 / $28.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $17.34 / $19.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $19.73 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $10.62 / $20.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $20.13 / $28.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $20.39 / $30.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $9.27 / $13.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $17.59 / $17.59