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South Dakota rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Facilitymedian $447 · 10th–90th $437–$1,0000%20%40%10th90th$447Professionalmedian $447 · 10th–90th $251–$7590%10%20%10th90th$447$200.0$500.0$1.0K$2.0K

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
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $398.11 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $630.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,096.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $602.56 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $398.11 / $616.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34