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South Carolina rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.13 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.57 / $539.16 / $780.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,911.85 / $6,861.51 / $12,097.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.86 / $629.00 / $1,105.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $600.38 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.04 / $798.68 / $1,159.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.44 / $782.83 / $1,138.40
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 / $397.63 / $723.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.00 / $13,190.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.69 / $567.25 / $1,193.88