go back

South Carolina rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Facilitymedian $427 · 10th–90th $257$7760%10%20%10th90th$427Professionalmedian $355 · 10th–90th $245$4790%10%20%10th90th$355$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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$489.78
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$776.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$407.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$426.58