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South Dakota rates for HCPCS L3590

Orthopedic shoe addition, convert firm shoe counter to soft counter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $36.31 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $64.57 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $40.74 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $70.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26