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South Carolina rates for HCPCS 25393

Osteoplasty Radius&Ulna Lengthening W/Autograf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.59 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.58 / $1,163.17 / $1,560.68
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
$1,050.81 / $1,548.00 / $2,721.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $7,345.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.82 / $1,589.74 / $2,496.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.80 / $1,651.93 / $2,490.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,219.24 / $6,219.24 / $6,219.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $795.14 / $1,487.31
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
$942.66 / $1,225.84 / $2,551.98