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South Dakota rates for HCPCS L3560

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $19.14 / $19.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $19.03 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.39 / $15.39 / $30.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.88 / $32.19 / $39.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $32.15 / $128.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $17.73 / $30.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.09 / $30.18 / $47.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $30.60 / $57.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.23 / $27.19 / $32.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $13.89 / $23.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.07