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South Carolina rates for HCPCS 25136

Exc/Curtg Cyst/Tumor Carpal Bones W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.59 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.33 / $515.78 / $729.50
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
$469.05 / $583.50 / $987.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.98 / $580.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.16 / $649.38 / $1,108.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.72 / $688.31 / $1,083.63
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 / $365.35 / $668.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.00 / $13,190.00 / $23,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.86 / $539.17 / $1,140.55