go back

South Dakota rates for HCPCS L3550

Orthopedic shoe addition, toe tap, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $15.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.96 / $20.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.92 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.75 / $11.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $19.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.96 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.37 / $11.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23