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South Carolina rates for HCPCS 25575

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,709.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $14,125.38 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$154.88 / $154.88 / $154.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,089.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96