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South Carolina rates for HCPCS 25805

Arthrodesis, wrist; with sliding graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $870.96 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,471.29 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,445.44