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South Carolina rates for HCPCS 25391

Osteoplasty Radius/Ulna Lengthening W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.80 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.93 / $1,040.83 / $1,561.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.28 / $499.28 / $499.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $11,557.83 / $23,615.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.90 / $1,279.00 / $2,248.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $15,475.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.33 / $1,389.16 / $2,204.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.54 / $1,491.13 / $2,194.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,527.34 / $13,527.34 / $13,527.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $703.98 / $1,310.28
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
$817.11 / $1,079.93 / $2,254.56