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South Dakota rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Facilitymedian $148 · 10th–90th $45–$1480%50%10th$148Professionalmedian $58 · 10th–90th $58–$720%20%40%90th$58$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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $147.91 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $67.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50