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South Carolina rates for HCPCS 24930

Amputation, arm through humerus; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $6,165.95 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $9,332.54 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,698.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,698.24
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
$630.96 / $812.83 / $1,318.26