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Below Knee (BK), Molded Socket, Endoskeletal System

South Dakota rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Rates data updated July 2026.

Facilitymedian $2,818 · 10th–90th $2,042$5,3700%10%10th90th$2,818Professionalmedian $2,754 · 10th–90th $2,239$4,6770%20%10th90th$2,754$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,691.53
Typical High
$2,818.38
Avera
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$17,378.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$3,467.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$5,011.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$3,801.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30