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South Carolina rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.31 / $1,886.44 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.39 / $739.03 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,401.93 / $21,277.44 / $33,889.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.73 / $843.41 / $1,429.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.20 / $823.20 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.63 / $984.66 / $1,589.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.02 / $1,015.16 / $1,559.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $517.38 / $959.07
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
$582.20 / $772.82 / $1,630.63