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South Dakota rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Facilitymedian $4,266 · 10th–90th $3,802$8,5110%20%40%10th90th$4,266Professionalmedian $4,266 · 10th–90th $2,239$6,7610%20%10th90th$4,266$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
$3,715.35 / $4,265.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,168.69 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,248.07 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,467.37 / $25,703.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $5,623.41
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $9,332.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,467.37 / $6,025.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87