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South Carolina rates for HCPCS L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each

Facilitymedian $91 · 10th–90th $66–$1820%10%20%10th90th$91Professionalmedian $81 · 10th–90th $60–$1200%10%20%10th90th$81$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $81.28 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $112.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $97.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $117.49 / $239.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $79.43 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $67.61 / $91.20