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Surgical Boot, Child

South Dakota rates for HCPCS L3209

Surgical boot, each, child

Rates data updated October 2026.

How much does Surgical Boot, Child cost?

$22.91

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $31.62 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.91$14.45 to $38.02
FacilityA hospital or hospital-owned outpatient department$31.62$30.90 to $31.62

How much rates vary

Facilitymedian $32 · 10th to 90th $27 to $51Professionalmedian $23 · 10th to 90th $11 to $44
$10$20$50$100facility $32professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$24.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$38.02
Typical High
$43.65
Medica
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$31.62
Typical High
$51.29
Medica
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$20.89
Typical High
$186.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Midlands
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$19.95
Typical High
$28.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22

Where South Dakota sits

The same service costs 4.4 times more in Wyoming than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 28th of 51

$22.91

WY $75.86CO $17.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.