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South Dakota rates for HCPCS L6935

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

Facilitymedian $8,913 · 10th–90th $7,943$18,1970%50%10th90th$8,913Professionalmedian $8,913 · 10th–90th $4,571$14,4540%10%20%10th90th$8,913$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
$7,943.28 / $8,912.51 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,912.51 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $15,488.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $29,512.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,244.36 / $54,954.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,964.78 / $11,220.18
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $19,498.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,964.78 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,244.36 / $12,589.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00