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South Carolina rates for HCPCS 25310

Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.49 / $7,237.99 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,644.93 / $9,828.62 / $18,314.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.92 / $976.50 / $1,513.03
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$109.85 / $157.44 / $223.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $12,271.00 / $22,523.00