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South Carolina rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Facilitymedian $575 · 10th–90th $347–$1,0470%10%20%10th90th$575Professionalmedian $447 · 10th–90th $331–$6460%10%20%10th90th$447$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
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $776.25 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $575.44 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $501.19
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $630.96 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $251.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $575.44