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South Carolina rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.25 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.91 / $961.04 / $1,347.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,843.00 / $8,812.02 / $22,467.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.92 / $1,165.00 / $2,048.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $10,845.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.93 / $1,281.21 / $2,031.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.14 / $1,380.00 / $2,015.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.20 / $9,482.20 / $9,482.20
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
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.66 / $1,045.35 / $2,186.84