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South Dakota rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Facilitymedian $107 · 10th–90th $91–$2290%20%40%10th90th$107Professionalmedian $110 · 10th–90th $65–$1700%10%10th90th$110$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
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $323.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $117.49 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $117.49 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78