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South Dakota rates for HCPCS L3908

Wrist-hand orthosis (WHO), wrist extension control cock-up, nonmolded, prefabricated, off-the-shelf

Facilitymedian $29 · 10th–90th $21–$760%20%10th90th$29Professionalmedian $62 · 10th–90th $29–$1170%5%10%10th90th$62$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $54.95 / $102.33
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $67.61 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $52.48 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $74.13 / $74.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $117.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $50.12 / $91.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10