go back

South Carolina rates for HCPCS L5697

Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic band

Facilitymedian $68 · 10th–90th $43–$1350%10%20%10th90th$68Professionalmedian $55 · 10th–90th $41–$830%20%10th90th$55$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
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $54.95 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $128.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $75.86 / $158.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $72.44 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $47.86 / $72.44