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South Carolina rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Facilitymedian $427 · 10th–90th $263$8320%10%20%10th90th$427Professionalmedian $347 · 10th–90th $257$5010%10%10th90th$347$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
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $398.11 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $776.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $467.74 / $977.24
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $446.68 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $446.68