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South Dakota rates for HCPCS L8330

Truss, addition to standard pad, scrotal pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.63 / $49.63 / $49.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $49.63 / $57.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $37.03 / $65.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.63 / $68.63 / $85.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.57 / $76.73 / $321.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $39.42 / $70.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $65.18 / $113.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $66.09 / $124.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $57.86 / $68.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.14 / $39.42 / $50.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $58.07 / $58.07