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South Carolina rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Facilitymedian $525 · 10th–90th $309–$9550%10%20%10th90th$525Professionalmedian $407 · 10th–90th $302–$5890%10%20%10th90th$407$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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $707.95 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $549.54 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $416.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $1,096.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $524.81 / $954.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $524.81