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South Carolina rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.32 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.91 / $886.51 / $1,329.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $11,557.83 / $23,615.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.25 / $1,244.00 / $2,020.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $965.68 / $8,151.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.07 / $1,169.56 / $1,879.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.23 / $1,168.19 / $1,860.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,732.04 / $6,732.04 / $6,732.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $603.71 / $1,134.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.43 / $904.53 / $1,925.16