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South Dakota rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $12 · 10th–90th $11–$260%20%40%10th90th$12Professionalmedian $13 · 10th–90th $5–$210%10%10th90th$13$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
$10.96 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $42.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $19.50
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.47 / $17.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38