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South Dakota rates for HCPCS L8480

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.26 / $9.26 / $9.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $9.26 / $14.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $7.14 / $12.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.88 / $15.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.24 / $15.13 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $8.74 / $13.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $12.16 / $21.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $12.55 / $26.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $14.39 / $17.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $9.39 / $13.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $10.83 / $10.83