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South Dakota rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Facilitymedian $95 · 10th–90th $83–$1620%20%10th90th$95Professionalmedian $91 · 10th–90th $52–$1740%10%10th90th$91$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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $173.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $128.82 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $87.10 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $131.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $234.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $87.10 / $141.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49