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South Dakota rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Facilitymedian $81 · 10th–90th $65–$1230%20%40%10th90th$81Professionalmedian $74 · 10th–90th $55–$1350%20%10th90th$74$50.0$100.0$200.0$500.0

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
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $67.61 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $114.82
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $169.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $67.61 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33