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South Dakota rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Facilitymedian $31 · 10th–90th $26–$660%20%10th90th$31Professionalmedian $31 · 10th–90th $18–$830%10%10th90th$31$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
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $93.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.88 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $56.23 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $33.11 / $44.67
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71