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South Dakota rates for HCPCS L8420

Prosthetic sock, multiple ply, below knee (BK), each

Facilitymedian $21 · 10th–90th $19–$390%20%40%10th90th$21Professionalmedian $21 · 10th–90th $10–$360%20%10th90th$21$10.0$20.0$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $21.88
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $24.55 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $18.62 / $147.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $28.18
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $41.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $29.51
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12