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South Carolina rates for HCPCS 20805

Replantation Forearm Complete Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,712.95 / $8,801.20 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.08 / $3,411.45 / $4,166.99
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
$3,013.70 / $5,032.00 / $8,791.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $3,686.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,599.19 / $4,560.06 / $7,175.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.16 / $4,521.00 / $7,236.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.50 / $2,332.66 / $4,336.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,635.00 / $21,721.00 / $34,266.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,693.06 / $3,418.05 / $6,626.12