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South Carolina rates for HCPCS 25251

Removal Wrist Prosth Complicated W/Total Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.54 / $4,375.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.24 / $742.36 / $998.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.50 / $7,206.40 / $12,212.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.09 / $923.00 / $1,622.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $580.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $974.73 / $1,597.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.01 / $1,000.11 / $1,582.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $523.12 / $970.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $12,456.00 / $22,523.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.97 / $766.34 / $1,638.58