go back

South Carolina rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $4,570.88 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $338.84 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,467.37 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $467.74 / $776.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $616.60