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South Dakota rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $196.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $11.93 / $18.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.94 / $17.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $17.23 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $10.62 / $19.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $20.13 / $28.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $20.39 / $30.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $9.35 / $13.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.22 / $17.22 / $17.22