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South Carolina rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,230.27 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $912.01