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South Carolina rates for HCPCS 25119

Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,760.83 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $851.14 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $891.25