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South Carolina rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.87 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.62 / $804.15 / $1,117.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $10,783.42 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.41 / $993.00 / $1,745.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $873.43 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.97 / $1,080.51 / $1,696.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.87 / $1,149.00 / $1,683.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $531.00 / $1,023.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.49 / $840.85 / $1,740.39