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South Carolina rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.75 / $1,240.40 / $9,358.01
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$406.12 / $746.20 / $1,031.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.62 / $1,260.07 / $2,661.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $1,370.63
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$560.79 / $560.79 / $560.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.01 / $664.69 / $1,077.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00