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South Carolina rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $427 · 10th–90th $269–$8130%10%20%10th90th$427Professionalmedian $331 · 10th–90th $257–$5010%10%20%10th90th$331$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $323.59 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $501.19 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $457.09 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $457.09