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Joint Covers, Below-Knee

South Dakota rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Rates data updated July 2026.

How much does Joint Covers, Below-Knee cost?

$54.95

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $57.54 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 7 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$54.95$41.69 to $60.26
FacilityA hospital or hospital-owned outpatient department$57.54$44.67 to $67.61

How much rates vary

Facilitymedian $58 · 10th to 90th $36 to $120Professionalmedian $55 · 10th to 90th $40 to $69
$20$50$100$200facility $58professional $55

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$69.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$58.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$112.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$39.81
Typical High
$56.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70

Where South Dakota sits

The same service costs 5.0 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· 3rd of 51

$54.95

HI $107DE $21.38

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.