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South Carolina rates for HCPCS 25170

Radical Resection Tumor Radius Or Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.93 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.09 / $1,532.53 / $2,000.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,009.67 / $10,148.12 / $18,314.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.00 / $1,362.33 / $1,912.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $1,662.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.20 / $1,835.82 / $3,236.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.00 / $1,659.14 / $3,256.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,044.33 / $1,976.39
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
$1,137.34 / $1,490.95 / $2,977.54