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South Carolina rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,000.00 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,288.25