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South Carolina rates for HCPCS 23525

Closed Tx Sternoclavicular Dislc W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.87 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $409.67 / $639.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.62 / $1,329.80 / $2,424.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.00 / $379.43 / $523.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.80 / $375.00 / $628.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.64 / $477.81 / $887.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.00 / $472.69 / $791.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $251.82 / $579.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.51 / $403.97 / $777.78