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South Carolina rates for HCPCS 25301

Tenodesis Wrist Extensors Fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.78 / $8,783.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.50 / $7,206.40 / $12,212.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $737.28 / $2,581.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.34 / $888.94 / $1,409.99
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$108.23 / $135.52 / $187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00