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South Dakota rates for HCPCS L3209

Surgical boot, each, child

Facilitymedian $25 · 10th–90th $20–$510%20%40%10th90th$25Professionalmedian $21 · 10th–90th $14–$380%10%10th90th$21$10.0$20.0$50.0$100.0

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $38.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $186.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $25.70 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22