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South Carolina rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Facilitymedian $398 · 10th–90th $240–$7240%10%20%10th90th$398Professionalmedian $302 · 10th–90th $234–$4570%10%20%10th90th$302$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
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $426.58 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $407.38 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $407.38