go back

South Dakota rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $871 · 10th–90th $759$1,3180%20%40%10th90th$871Professionalmedian $813 · 10th–90th $501$1,3490%10%10th90th$813$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,202.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,737.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13