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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
$912.01 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,412.54
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
$630.96 / $794.33 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,659.59
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 / $11,220.18 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,258.93