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South Carolina rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.78 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $983.82 / $1,320.44
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
$890.07 / $1,337.00 / $2,350.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,083.97 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.63 / $1,409.92 / $2,111.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.98 / $1,455.75 / $2,098.61
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 / $688.35 / $1,298.42
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
$795.99 / $1,053.90 / $2,160.84