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South Dakota rates for HCPCS L5982

All Exoskeletal Lower Extremity Prostheses Axial Rotation Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.16 / $648.16 / $648.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.11 / $648.16 / $903.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.58 / $500.58 / $889.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $1,121.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.86 / $939.62 / $3,743.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.58 / $549.02 / $925.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.59 / $889.47 / $1,331.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.62 / $901.99 / $1,699.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.71 / $903.48 / $1,073.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.04 / $461.56 / $769.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.44 / $792.44 / $792.44