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South Carolina rates for HCPCS 25426

Repair Defect W/Autograft Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.30 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.61 / $1,161.83 / $1,551.86
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
$1,044.68 / $1,423.00 / $2,502.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $3,406.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.17 / $1,576.97 / $2,481.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.16 / $1,629.81 / $2,475.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,917.90 / $2,917.90 / $2,917.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $795.14 / $1,466.40
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
$922.05 / $1,236.61 / $2,537.65