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South Dakota rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$347

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $372 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 8 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$347$302 to $457
FacilityA hospital or hospital-owned outpatient department$372$295 to $447

How much rates vary

Facilitymedian $372 · 10th to 90th $251 to $676Professionalmedian $347 · 10th to 90th $269 to $676
$200$500$1K$2Kfacility $372professional $347

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$389.05
Avera
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$380.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where South Dakota sits

The same service costs 2.7 times more in Hawaii 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

$347

HI $490DE $182

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.