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South Carolina rates for HCPCS 25907

Amputation, forearm, through radius and ulna; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,786.30 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $691.83 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,202.26