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South Dakota rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Facilitymedian $3,890 · 10th–90th $3,311–$7,5860%20%40%10th90th$3,890Professionalmedian $3,890 · 10th–90th $1,820–$6,0260%10%20%10th90th$3,890$2.0K$5.0K$10.0K$20.0K

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
$3,311.31 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,890.45 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,570.88 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,235.94 / $26,302.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,248.07 / $5,248.07
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $8,128.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,570.88 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,370.32
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35