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South Dakota rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $759 · 10th–90th $724–$1,4130%20%40%10th90th$759Professionalmedian $759 · 10th–90th $501–$1,3180%10%20%10th90th$759$500.0$1.0K$2.0K$5.0K

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
$630.96 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $758.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $977.24 / $977.24
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,548.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $870.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $660.69 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96