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South Carolina rates for HCPCS 25425

Repair Defect W/Autograft Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.94 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.32 / $994.51 / $1,333.93
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
$898.49 / $1,299.00 / $2,284.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $9,108.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.82 / $1,446.47 / $2,133.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.00 / $1,450.38 / $2,124.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $688.35 / $1,298.42
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
$793.18 / $1,099.32 / $2,131.69