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South Carolina rates for HCPCS 25420

Rpr Nonunion/Malunion Radius&Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.78 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.47 / $1,213.32 / $1,826.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,821.65 / $19,041.73 / $34,857.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.25 / $1,595.00 / $2,804.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $7,275.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.44 / $1,640.43 / $2,575.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.33 / $1,732.61 / $2,572.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,763.80 / $6,763.80 / $6,763.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $827.92 / $1,537.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,628.00 / $20,341.00 / $27,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.26 / $1,362.57 / $2,635.56