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Prosthetic Shrinker, Upper Limb

South Dakota rates for HCPCS L8465

Prosthetic shrinker, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Shrinker, Upper Limb cost?

$58.88

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $58.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$48.98 to $77.62
FacilityA hospital or hospital-owned outpatient department$58.88$48.98 to $75.86

How much rates vary

Facilitymedian $59 · 10th to 90th $43 to $115Professionalmedian $59 · 10th to 90th $46 to $107
$50$100$200facility $59professional $59

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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$44.67
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$64.57
Typical High
$64.57
Midlands
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$104.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$44.67
Typical High
$87.10
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88

Where South Dakota sits

The same service costs 2.6 times more in Wisconsin than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 3rd of 51

$58.88

WI $75.86NE $28.84

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.