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South Carolina rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $302 · 10th–90th $178$5620%10%20%10th90th$302Professionalmedian $224 · 10th–90th $174$3390%10%20%10th90th$224$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
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$302.00