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South Carolina rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,760.83 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $691.83 / $2,570.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $933.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $562.34 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29