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South Carolina rates for HCPCS 25391

Osteoplasty, radius OR ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,819.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,471.29 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,187.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,862.09