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South Dakota rates for HCPCS L8430

Prosthetic Sock Multiple Ply Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.89 / $23.88 / $28.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $32.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $33.00 / $41.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $35.28 / $140.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $19.61 / $33.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.82 / $32.26 / $50.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.41 / $32.70 / $61.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $28.79 / $34.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $18.78 / $24.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $28.74 / $28.74