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South Carolina rates for HCPCS 25492

Proph Tx N/P/Pltwr W/Wo Methylmecrylate Rad&Ul

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.86 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.91 / $934.76 / $1,255.31
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
$846.52 / $1,221.00 / $2,146.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.49 / $1,272.02 / $2,007.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.70 / $1,298.59 / $1,991.08
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 / $669.59 / $1,232.81
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
$754.99 / $1,033.79 / $2,057.21