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Knee Extension Assist, Above-Knee or Hip Disarticulation

South Carolina rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $69$2090%20%10th90th$102Professionalmedian $78 · 10th–90th $69$1150%20%10th90th$78$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
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$102.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$114.82