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South Carolina rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.90 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.63 / $707.81 / $952.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,285.00 / $6,765.00 / $16,114.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.80 / $782.25 / $1,325.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.14 / $784.14 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.72 / $969.77 / $1,522.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.05 / $972.48 / $1,505.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $485.82 / $923.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.08 / $782.54 / $1,634.15