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South Dakota rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $12 · 10th–90th $10–$290%20%10th90th$12Professionalmedian $12 · 10th–90th $7–$230%10%10th90th$12$10.0$20.0$50.0$100.0

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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.88 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $21.88 / $27.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $12.88 / $16.98
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67