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Offset Knee Joint, Heavy-Duty

South Dakota rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Rates data updated July 2026.

How much does Offset Knee Joint, Heavy-Duty cost?

$174

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $200 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$170$123 to $209
FacilityA hospital or hospital-owned outpatient department$200$151 to $214

How much rates vary

Facilitymedian $200 · 10th to 90th $126 to $288Professionalmedian $170 · 10th to 90th $117 to $257
$100$200$500$1Kfacility $200professional $170

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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$204.17
Midlands
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$371.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21

Where South Dakota sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 8th of 51

$174

HI $251DC $72.44

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.