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South Dakota rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Facilitymedian $78 · 10th–90th $71–$1380%20%40%10th90th$78Professionalmedian $78 · 10th–90th $49–$1320%10%20%10th90th$78$50.0$100.0$200.0$500.0

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
$61.66 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $70.79 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $89.13 / $223.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $64.57 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $97.72
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $151.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $83.18 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $64.57 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10