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South Dakota rates for HCPCS L8310

Truss Double With Standard Pads (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.22 / $150.22 / $150.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $159.56 / $181.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.25 / $113.25 / $224.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.75 / $209.83 / $259.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.69 / $218.26 / $862.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $123.94 / $225.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.98 / $224.87 / $306.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $228.03 / $429.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $181.95 / $216.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.44 / $106.33 / $154.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.34 / $200.34 / $200.34