go back

South Carolina rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.89 / $1,812.05 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.84 / $735.15 / $900.36
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
$663.01 / $817.00 / $1,436.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.92 / $810.92 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.74 / $861.81 / $1,582.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.55 / $937.44 / $1,503.03
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
$569.00 / $736.66 / $1,657.90