go back

South Dakota rates for HCPCS L5010

Partial foot, molded socket, ankle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.21 / $1,619.21 / $1,619.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.59 / $1,565.47 / $1,619.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,861.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.42 / $2,241.00 / $2,801.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.57 / $1,881.08 / $7,602.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.63 / $1,066.32 / $1,934.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.56 / $1,861.20 / $2,804.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.34 / $1,887.40 / $3,556.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.14 / $1,565.47 / $1,860.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.79 / $1,066.32 / $1,933.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.16 / $1,658.16 / $1,658.16