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South Carolina rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $282 · 10th–90th $170–$5130%10%20%10th90th$282Professionalmedian $219 · 10th–90th $166–$3240%10%20%10th90th$219$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
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $245.47 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $295.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $616.60
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $288.40 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $288.40