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South Carolina rates for HCPCS 26489

Transfer/Transplant Tendon Palmar W/Graft Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.82 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.53 / $1,010.73 / $1,232.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,154.44 / $6,537.29 / $11,190.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.00 / $881.46 / $1,376.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.84 / $878.84 / $878.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.00 / $1,271.00 / $2,018.52
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
$112.17 / $697.87 / $1,287.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.02 / $980.55 / $2,179.31