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South Dakota rates for HCPCS L6386

Immediate postsurgical or early fitting, each additional cast change and realignment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.75 / $472.75 / $472.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.70 / $470.70 / $472.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.10 / $365.10 / $602.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.41 / $654.38 / $817.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.01 / $585.12 / $2,633.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.02 / $320.62 / $626.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.20 / $602.78 / $924.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.69 / $611.28 / $1,151.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.06 / $470.70 / $559.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.28 / $320.62 / $572.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.02 / $537.02 / $537.02