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South Carolina rates for HCPCS 25450

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.61 / $5,107.20 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $638.87 / $1,013.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $10,783.42 / $18,314.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.74 / $797.00 / $1,401.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $709.38 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.61 / $830.06 / $1,373.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.14 / $876.46 / $1,353.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $430.40 / $816.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $16,959.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.36 / $649.59 / $1,411.12