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South Dakota rates for HCPCS L6930

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Facilitymedian $8,128 · 10th–90th $7,413–$16,9820%50%10th90th$8,128Professionalmedian $8,511 · 10th–90th $4,169–$13,4900%10%20%10th90th$8,511$5.0K$10.0K$20.0K$50.0K

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
$7,413.10 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $8,128.31 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,000.00 / $27,542.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,456.54 / $51,286.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,772.37 / $9,772.37
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $18,197.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,232.93 / $13,489.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,760.83 / $11,481.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $8,709.64