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South Dakota rates for HCPCS L5710

Addition, exoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.57 / $361.57 / $361.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.57 / $381.88 / $497.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $279.26 / $538.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.63 / $505.63 / $625.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.09 / $522.41 / $2,318.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.93 / $338.83 / $559.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.52 / $538.22 / $828.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.80 / $545.79 / $1,028.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.89 / $497.44 / $591.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.62 / $324.48 / $423.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.50 / $479.50 / $479.50