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South Carolina rates for HCPCS 23802

Arthrodesis Glenohumeral Jt W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.63 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.74 / $1,318.94 / $1,730.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $11,557.83 / $22,467.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.99 / $1,528.00 / $2,686.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,453.45 / $10,845.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.39 / $1,718.17 / $2,832.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.63 / $1,600.00 / $2,826.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.20 / $9,482.20 / $9,482.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $939.11 / $1,731.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.16 / $1,336.40 / $2,898.94