go back

South Dakota rates for HCPCS L3060

Foot, arch support, removable, premolded, longitudinal/metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.75 / $61.75 / $61.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.44 / $55.55 / $61.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.02 / $56.02 / $97.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $104.16 / $128.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.43 / $103.62 / $413.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $57.27 / $96.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.86 / $97.26 / $152.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $98.62 / $185.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.95 / $87.75 / $104.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $59.77 / $94.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00