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South Carolina rates for HCPCS 23900

Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.42 / $3,717.06 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.07 / $1,435.85 / $1,880.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,401.93 / $21,277.44 / $33,889.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.06 / $1,672.74 / $2,913.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,568.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.74 / $1,866.77 / $3,056.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.33 / $1,880.00 / $3,057.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $971.46 / $1,828.37
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
$1,138.85 / $1,501.45 / $2,802.11