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South Carolina rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.90 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.95 / $742.04 / $997.96
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
$673.60 / $947.00 / $1,665.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $821.71 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.49 / $1,016.54 / $1,596.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.00 / $1,032.38 / $1,580.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $523.12 / $970.56
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
$588.05 / $789.05 / $1,637.63