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South Carolina rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,760.83 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,348.96