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Prosthetic Foot, SACH, Replacement

South Carolina rates for HCPCS L5971

All lower extremity prostheses, SACH foot, replacement only

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $110$3310%20%10th90th$162Professionalmedian $129 · 10th–90th $105$1910%20%10th90th$129$100.0$200.0$500.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$426.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$186.21