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South Carolina rates for HCPCS 25126

Exc/Curtg Cyst/Tumor Radius/Ulna W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.84 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.58 / $610.97 / $774.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.50 / $7,206.40 / $12,097.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.80 / $741.00 / $1,302.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $688.92 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.82 / $898.15 / $1,333.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.21 / $885.00 / $1,314.12
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 / $415.09 / $791.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.74 / $649.30 / $1,283.96