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South Dakota rates for HCPCS L8435

Prosthetic sock, multiple ply, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $18.20 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.78 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $30.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $28.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54