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South Carolina rates for HCPCS 01250

Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg

Facilitymedian $550 · 10th–90th $457$7240%10%20%10th90th$550Professionalmedian $282 · 10th–90th $112$7590%20%40%10th90th$282$100.0$200.0$500.0

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
QK
Typical Low / Median / Typical High
$549.54 / $549.54 / $724.44
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$457.09 / $457.09 / $588.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$162.18 / $162.18 / $204.17
BCBS
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$95.50 / $169.82 / $263.03