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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
$22.70 / $22.70 / $22.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $22.70 / $24.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $30.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $31.50 / $39.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.33 / $29.84 / $134.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $16.78 / $31.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.55 / $30.73 / $48.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $31.16 / $58.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $24.64 / $29.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $16.78 / $22.37
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38