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South Carolina rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.23 / $1,855.56 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.31 / $752.27 / $935.80
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
$679.36 / $829.14 / $1,430.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.01 / $831.01 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.29 / $922.60 / $1,619.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.51 / $976.00 / $1,540.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $514.96 / $952.69
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
$583.02 / $755.55 / $1,658.05