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South Dakota rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $24,547 · 10th–90th $21,380–$47,8630%20%40%10th90th$24,547Professionalmedian $24,547 · 10th–90th $12,882–$38,9050%20%10th90th$24,547$10.0K$20.0K$50.0K$100.0K

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
$21,379.62 / $24,547.09 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $23,988.33 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $41,686.94
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $29,512.09 / $77,624.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,952.62 / $144,543.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $31,622.78 / $31,622.78
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $32,359.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $52,480.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24,547.09 / $29,512.09 / $38,904.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $19,952.62 / $33,884.42
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83