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South Carolina rates for HCPCS 25565

Closed treatment of radial and ulnar shaft fractures; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,548.82 / $9,120.11
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$741.31 / $741.31 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$562.34 / $562.34 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,230.27 / $4,677.35