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South Carolina rates for HCPCS 24101

Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $10,471.29 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,606.93 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $870.96 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.10 / $87.10 / $87.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29