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South Dakota rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Facilitymedian $1,820 · 10th–90th $1,622–$3,6310%20%40%10th90th$1,820Professionalmedian $1,820 · 10th–90th $955–$2,9510%10%20%10th90th$1,820$1.0K$2.0K$5.0K$10.0K

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
$1,621.81 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,238.72 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $2,398.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,981.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,238.72 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,479.11 / $2,570.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96