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South Carolina rates for HCPCS 25316

Flexor Origin Slide F/Arm&/Wrst Tendon Transfe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.10 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.30 / $959.97 / $1,333.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,821.65 / $19,041.73 / $34,857.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.31 / $1,175.00 / $2,066.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.57 / $1,292.51 / $2,029.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.29 / $1,415.20 / $2,013.19
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 / $669.59 / $1,232.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.08 / $1,068.04 / $2,078.41