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South Carolina rates for HCPCS 20802

Replantation Arm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,124.23 / $7,388.98 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.66 / $2,816.99 / $3,681.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,114.82 / $27,416.96 / $43,667.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.35 / $4,111.00 / $6,455.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $3,101.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,807.90 / $3,734.37 / $6,115.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,676.92 / $3,749.08 / $6,076.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $1,959.37 / $3,643.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $19,915.00 / $30,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.11 / $2,900.84 / $6,588.78