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South Dakota rates for HCPCS L3100

Hallux-valgus night dynamic splint, prefabricated, off-the-shelf

Facilitymedian $38 · 10th–90th $36$650%20%40%10th90th$38Professionalmedian $36 · 10th–90th $23$690%10%10th90th$36$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $51.29 / $97.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $263.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $57.54
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $93.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $52.48 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $58.88
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98