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South Carolina rates for HCPCS 20802

Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $23,442.29 / $44,668.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,548.13 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,467.37 / $6,165.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $6,309.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,467.37 / $6,025.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $4,466.84