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South Carolina rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.68 / $5,373.20 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.60 / $833.45 / $1,100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,718.33 / $29,365.77 / $49,542.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.98 / $966.19 / $1,631.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $890.00 / $24,158.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.88 / $1,051.96 / $1,796.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.35 / $1,100.14 / $1,771.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,563.78 / $20,563.78 / $20,563.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $590.41 / $1,097.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $19,915.00 / $30,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.35 / $882.31 / $1,835.82