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South Dakota rates for HCPCS L3595

Orthopedic shoe addition, March bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $34.92 / $35.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.84 / $33.84 / $55.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $58.50 / $73.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $59.01 / $235.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $32.57 / $55.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.99 / $55.31 / $86.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $56.10 / $105.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.62 / $49.89 / $59.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $26.29 / $50.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.77 / $47.77 / $47.77