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South Carolina rates for HCPCS 25530

Closed Tx Ulnar Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.55 / $698.54 / $9,062.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$211.71 / $230.27 / $523.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.17 / $266.75 / $434.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.48 / $318.48 / $318.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.47 / $409.97 / $687.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $265.00 / $420.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $210.80 / $423.44
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$296.41 / $296.41 / $296.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.47 / $321.26 / $593.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.40 / $336.43 / $539.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $229.29 / $377.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.89 / $284.19 / $617.38