go back

South Dakota rates for HCPCS L3140

Foot, abduction rotation bar, including shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $74.53 / $74.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $74.13 / $74.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.89 / $59.89 / $117.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $124.50 / $155.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $110.14 / $499.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.21 / $69.13 / $117.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.64 / $117.43 / $183.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.17 / $119.07 / $224.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.46 / $105.90 / $125.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $55.78 / $90.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $101.41 / $101.41