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Suspension Sleeve

South Dakota rates for HCPCS L2397

Addition to lower extremity orthosis, suspension sleeve

Rates data updated July 2026.

How much does Suspension Sleeve cost?

$129

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $141 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$126$100 to $170
FacilityA hospital or hospital-owned outpatient department$141$105 to $166

How much rates vary

Facilitymedian $141 · 10th to 90th $100 to $200Professionalmedian $126 · 10th to 90th $87 to $214
$50$100$200$500facility $141professional $126

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$131.83
Avera
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$97.72
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$165.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36

Where South Dakota sits

The same service costs 2.9 times more in Kansas than in Washington, DC. 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· 6th of 51

$129

KS $162DC $56.23

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.