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South Carolina rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.11 / $6,179.59 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.14 / $798.68 / $1,025.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.50 / $931.00 / $1,636.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.60 / $881.60 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.85 / $997.74 / $1,714.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.00 / $1,047.00 / $1,702.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $557.43 / $1,052.41
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
$634.36 / $806.96 / $1,756.52