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South Carolina rates for HCPCS 24320

Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $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 / $812.83 / $1,348.96