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South Carolina rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.43 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.36 / $665.87 / $763.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.87 / $5,205.85 / $8,724.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.83 / $701.40 / $1,188.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $735.78 / $1,370.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.17 / $749.60 / $1,434.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.32 / $816.67 / $1,352.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $450.53 / $858.11
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
$507.36 / $656.28 / $1,313.10