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South Dakota rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $58 · 10th–90th $52$1200%50%10th90th$58Professionalmedian $60 · 10th–90th $28$950%10%10th90th$60$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$57.54
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$72.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$128.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$47.86
Typical High
$81.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57