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South Carolina rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.11 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.75 / $771.37 / $1,069.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,835.02 / $10,783.42 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.47 / $950.00 / $1,670.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $835.48 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.16 / $974.17 / $1,621.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.56 / $1,028.00 / $1,596.83
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 / $531.00 / $1,008.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $15,713.00 / $25,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.37 / $757.88 / $1,664.07