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South Carolina rates for HCPCS L5858

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type

Facilitymedian $15,136 · 10th–90th $10,000$28,8400%20%10th90th$15,136Professionalmedian $11,220 · 10th–90th $9,550$18,6210%20%10th90th$11,220$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$10,000.00 / $10,000.00 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $23,988.33 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $26,302.68
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $16,595.87 / $35,481.34
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
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
$13,182.57 / $15,135.61 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $11,220.18 / $15,135.61