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Endoskeletal Below-Knee, Flexible Protective Cover

South Dakota rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $562$1,7380%10%10th90th$871Professionalmedian $813 · 10th–90th $562$1,0230%20%10th90th$813$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
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$575.44
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$831.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25