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Nationwide rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $251 · 10th–90th $138$7590%20%10th90th$251Professionalmedian $182 · 10th–90th $132$3550%20%10th90th$182$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$131.83 / $169.82 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $169.82 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $190.55 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $331.13