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South Carolina rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $5,888 · 10th–90th $3,890–$10,9650%10%20%10th90th$5,888Professionalmedian $4,365 · 10th–90th $3,715–$7,0790%20%10th90th$4,365$50.0$200.0$1.0K$5.0K$20.0K

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
$3,890.45 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,365.16 / $6,456.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,709.64 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $6,025.60 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $10,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $5,128.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,456.54 / $13,803.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
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
$5,128.61 / $5,888.44 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,365.16 / $5,888.44