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South Dakota rates for HCPCS L3211

Surgical boot, each, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $21.43 / $21.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $19.80 / $21.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.58 / $28.58 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $32.57 / $40.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.09 / $39.61 / $150.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.26 / $24.41 / $45.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.78 / $46.28 / $65.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $46.28 / $71.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $21.48 / $30.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58