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South Carolina rates for HCPCS 25390

Osteoplasty Radius/Ulna Shortening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.99 / $8,163.83 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,939.33 / $8,280.39 / $17,238.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $877.51 / $7,952.19
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.09 / $87.09 / $87.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.99 / $1,173.00 / $1,686.80
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$132.86 / $191.82 / $230.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00