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South Dakota rates for HCPCS L5585

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket

Facilitymedian $3,311 · 10th–90th $2,570–$5,7540%20%40%10th90th$3,311Professionalmedian $3,311 · 10th–90th $1,479–$4,6770%20%10th90th$3,311$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,311.31 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,548.13 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,344.23 / $17,378.01
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,630.78 / $3,630.78
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $6,165.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,467.37 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,344.23 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94