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South Dakota rates for HCPCS L9900

Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.13 / $68.13 / $68.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $68.13 / $91.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.87 / $155.26 / $251.72