go back

South Carolina rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $479 · 10th–90th $302–$9120%10%20%10th90th$479Professionalmedian $372 · 10th–90th $288–$5620%10%20%10th90th$372$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
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $676.08 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $831.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $338.84 / $501.19