go back

South Dakota rates for HCPCS L3465

Heel Thomas With Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.49 / $48.72 / $49.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.35 / $39.35 / $77.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $81.75 / $102.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.26 / $82.34 / $328.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.40 / $45.43 / $76.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.16 / $77.17 / $120.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $78.26 / $147.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $69.59 / $82.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $45.43 / $74.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64