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South Dakota rates for HCPCS L7520

Repair prosthetic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $38.90 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $58.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $25.70 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77