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South Dakota rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Facilitymedian $316 · 10th–90th $257–$5500%20%10th90th$316Professionalmedian $302 · 10th–90th $166–$5370%20%10th90th$302$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $537.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $436.52 / $436.52
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $794.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $436.52
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19