go back

South Carolina rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.26 / $3,134.12 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.90 / $1,212.24 / $1,392.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.73 / $1,726.00 / $3,034.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,324.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.65 / $1,640.78 / $2,578.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.02 / $1,667.84 / $2,579.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $829.50 / $1,571.60
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
$960.09 / $1,237.46 / $2,634.32