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South Dakota rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $20 · 10th–90th $20$370%20%40%10th90th$20Professionalmedian $20 · 10th–90th $12$440%20%10th90th$20$10.0$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
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$54.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$43.65
Typical High
$43.65
Midlands
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$34.67
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54