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South Carolina rates for HCPCS 20805

Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $6,025.60
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
$2,884.03 / $4,897.79 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $7,244.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $7,413.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,265.80 / $7,244.36
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
$2,630.27 / $3,311.31 / $5,623.41