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South Dakota rates for HCPCS L8470

Prosthetic sock, single ply, fitting, below knee (BK), each

Facilitymedian $7 · 10th–90th $6–$180%20%10th90th$7Professionalmedian $7 · 10th–90th $4–$120%10%20%10th90th$7$5.0$10.0$20.0$50.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $10.00
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $11.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $28.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $6.61 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $8.71
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.72 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $6.61 / $9.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76