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South Dakota rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Facilitymedian $48 · 10th–90th $38$1200%20%10th90th$48Professionalmedian $42 · 10th–90th $19$740%20%10th90th$42$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $40.74 / $43.65
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $120.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $53.70
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $81.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $33.11 / $57.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86