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South Carolina rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Facilitymedian $275 · 10th–90th $162–$5130%10%20%10th90th$275Professionalmedian $204 · 10th–90th $158–$3090%10%10th90th$204$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
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $275.42 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $467.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $275.42 / $588.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $120.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $181.97 / $275.42