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South Dakota rates for HCPCS L0220

Thoracic, rib belt, custom fabricated

Facilitymedian $132 · 10th–90th $105$1820%20%40%10th90th$132Professionalmedian $107 · 10th–90th $81$1820%10%20%10th90th$107$50.0$100.0$200.0$500.0$1.0K

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
$100.00 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $144.54 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $169.82 / $169.82
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $245.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $138.04 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $104.71 / $173.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36