go back

South Carolina rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Facilitymedian $89 · 10th–90th $52–$1660%10%20%10th90th$89Professionalmedian $71 · 10th–90th $50–$1020%10%20%10th90th$71$50.0$100.0$200.0$500.0

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
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $117.49 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $162.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $208.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $89.13 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $89.13