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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
$44.73 / $44.73 / $44.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $44.48 / $44.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $70.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.63 / $74.63 / $93.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.87 / $75.17 / $299.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $41.47 / $70.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.59 / $70.47 / $110.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $71.44 / $134.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $63.54 / $75.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $32.46 / $54.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.86 / $60.86 / $60.86