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South Dakota rates for HCPCS L3610

Transfer Of An Orthosis From One Shoe To Another Caliper Plate New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.11 / $84.11 / $84.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $83.66 / $84.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $132.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.25 / $140.25 / $175.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.21 / $141.38 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.76 / $78.02 / $132.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.18 / $132.51 / $207.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.53 / $134.37 / $253.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.09 / $119.52 / $142.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $62.94 / $101.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.44 / $114.44 / $114.44