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Protective Body Sock, Prefabricated, Off-the-Shelf

South Dakota rates for HCPCS L0984

Protective body sock, prefabricated, off-the-shelf, each

Rates data updated October 2026.

How much does Protective Body Sock, Prefabricated, Off-the-Shelf cost?

$75.86

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $87.10 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$50.12 to $87.10
FacilityA hospital or hospital-owned outpatient department$87.10$70.79 to $87.10

How much rates vary

Facilitymedian $87 · 10th to 90th $54 to $141Professionalmedian $76 · 10th to 90th $31 to $100
$50$100$200facility $87professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$95.50
Typical High
$117.49
Medica
Setting
Facility
Modifier
None
Typical Low
$53.70
Median
$87.10
Typical High
$141.25
Medica
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$47.86
Typical High
$389.05
Midlands
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Midlands
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$75.86
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$37.15
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62

Where South Dakota sits

The same service costs 2.9 times more in Hawaii than in Delaware. 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

$75.86

HI $91.20DE $31.62

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.