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Other Breast Prosthesis

South Dakota rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much rates vary

Facilitymedian $79 · 10th to 90th $47 to $178Professionalmedian $47 · 10th to 90th $47 to $52
$50.0$100.0$200.0$500.0$1.0Kfacility $79professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$177.83