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South Dakota rates for HCPCS L3806

Wrist Hand Finger Orthosis Includes One Or More Nontorsion Joint(S) Elastic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.07 / $346.07 / $346.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.38 / $344.23 / $425.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $545.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.50 / $577.50 / $721.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.63 / $584.86 / $2,319.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.61 / $320.98 / $574.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.34 / $545.23 / $853.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.54 / $552.90 / $1,041.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.03 / $491.75 / $666.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.82 / $251.21 / $418.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.88 / $470.88 / $470.88