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Lower Extremity Prosthesis Addition, Adjustable Heel Height

South Dakota rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $1,479$4,3650%10%10th90th$2,138Professionalmedian $2,138 · 10th–90th $1,622$3,1620%10%20%10th90th$2,138$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
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,819.70
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$10,964.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,981.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$2,570.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76