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South Dakota rates for HCPCS L3550

Orthopedic Shoe Addition Toe Tap Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $7.43 / $7.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $11.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.50 / $15.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $12.56 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.93 / $11.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.80 / $11.80 / $18.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $11.96 / $22.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $10.62 / $12.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $5.42 / $9.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19