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South Dakota rates for HCPCS L5858

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

Facilitymedian $18,621 · 10th–90th $16,596–$37,1540%20%40%10th90th$18,621Professionalmedian $18,621 · 10th–90th $9,772–$30,2000%10%20%10th90th$18,621$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
$16,595.87 / $18,620.87 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $18,620.87 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $32,359.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $22,908.68 / $60,255.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,135.61 / $112,201.85
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $24,547.09 / $24,547.09
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $25,118.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $40,738.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $22,908.68 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $26,302.68
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $21,877.62