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South Carolina rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.89 / $1,980.16 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.54 / $830.21 / $969.64
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
$637.00 / $764.40 / $1,171.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $904.09 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.20 / $962.76 / $1,769.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.01 / $1,059.57 / $1,626.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $553.69 / $1,027.06
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
$619.36 / $797.96 / $1,536.33