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South Dakota rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Facilitymedian $56 · 10th–90th $51$930%20%40%10th90th$56Professionalmedian $56 · 10th–90th $29$1020%10%20%10th90th$56$20.0$50.0$100.0$200.0$500.0

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
$50.12 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $50.12 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $47.86 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $89.13 / $89.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $123.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $50.12 / $91.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62