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South Dakota rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Facilitymedian $4,786 · 10th–90th $3,890–$8,5110%20%40%10th90th$4,786Professionalmedian $4,786 · 10th–90th $2,291–$6,7610%10%10th90th$4,786$2.0K$5.0K$10.0K$20.0K

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
$3,715.35 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,786.30 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,248.07 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,467.37 / $30,199.52
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,754.40 / $5,754.40
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $9,120.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,467.37 / $6,606.93
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61