go back

South Carolina rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.66 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.91 / $794.59 / $1,067.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.85 / $10,148.12 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.98 / $932.00 / $1,638.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $877.51 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.14 / $1,087.64 / $1,707.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.66 / $1,156.77 / $1,694.44
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 / $523.12 / $1,003.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.10 / $868.35 / $1,752.56