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South Carolina rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $18,197.01 / $34,673.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,258.93