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South Carolina rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $398 · 10th–90th $295–$8710%20%10th90th$398Professionalmedian $324 · 10th–90th $282–$5890%20%10th90th$324$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $323.59 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $371.54 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $338.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $1,047.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $181.97
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $346.74 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $416.87