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South Carolina rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $42 · 10th–90th $25–$830%10%20%10th90th$42Professionalmedian $30 · 10th–90th $25–$500%10%20%10th90th$30$20.0$50.0$100.0$200.0

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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $34.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $93.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $43.65