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South Carolina rates for HCPCS 25000

Incision Extensor Tendon Sheath Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.20 / $6,002.14 / $19,825.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $398.00 / $711.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.78 / $564.29 / $584.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.51 / $3,829.38 / $8,261.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.65 / $402.00 / $639.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.37 / $580.00 / $1,370.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.61 / $465.15 / $769.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.01 / $484.70 / $739.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $247.83 / $493.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $369.77 / $803.18