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Gelatin Capsules or Equivalent for Voice Prosthesis

South Dakota rates for HCPCS L8512

Gelatin capsules or equivalent, for use with tracheo-esophageal voice prosthesis, replacement only, per 10

Rates data updated July 2026.

How much does Gelatin Capsules or Equivalent for Voice Prosthesis cost?

$2.57

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $2.57 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$2.57$2.14 to $3.02
FacilityA hospital or hospital-owned outpatient department$2.57$2.09 to $3.72

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $3professional $3

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
$1.95
Median
$1.95
Typical High
$1.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.19
Typical High
$2.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.69
Typical High
$7.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.78
Typical High
$13.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.82
Typical High
$2.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$4.79
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.63
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.78
Typical High
$1.95
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.78
Typical High
$3.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.57

Where South Dakota sits

The same service costs 2.5 times more in Kansas than in Delaware. 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· 4th of 51

$2.57

KS $2.82DE $1.15

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.