go back

South Dakota rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Facilitymedian $17 · 10th–90th $17–$720%50%90th$17Professionalmedian $17 · 10th–90th $17–$520%50%90th$17$20.0$50.0$100.0

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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43