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South Carolina rates for HCPCS 26500

Rcnstj Tendon Pulley Each W/Local Tissues Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.80 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.27 / $718.96 / $1,189.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.58 / $4,006.27 / $7,106.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.00 / $629.09 / $1,004.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $781.05 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.49 / $818.22 / $1,472.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.65 / $906.54 / $1,331.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $484.62 / $900.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.55 / $667.25 / $1,503.95