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Walking Boot, Pneumatic or Vacuum, Custom Fitted

South Dakota rates for HCPCS L4360

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does Walking Boot, Pneumatic or Vacuum, Custom Fitted cost?

$282

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $302 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$219 to $363
FacilityA hospital or hospital-owned outpatient department$302$245 to $347

How much rates vary

Facilitymedian $302 · 10th to 90th $195 to $457Professionalmedian $282 · 10th to 90th $186 to $447
$100$200$500$1Kfacility $302professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$426.58
Avera
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$346.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$602.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$338.84
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$363.08
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00

Where South Dakota sits

The same service costs 2.4 times more in Massachusetts than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 7th of 51

$282

MA $363TX $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.