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South Carolina rates for HCPCS 25922

Disarticulation through wrist; 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
$524.81 / $660.69 / $1,148.15
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
$616.60 / $691.83 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,348.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,348.96
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 / $10,232.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,047.13