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South Carolina rates for HCPCS 25609

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 3 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.29 / $9,417.58 / $25,092.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,811.60 / $12,620.35 / $24,747.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.77 / $2,000.00 / $7,831.34
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$119.08 / $119.08 / $119.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.52 / $1,355.70 / $2,302.21
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,853.37 / $2,033.55 / $3,286.71
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$247.12 / $271.14 / $438.23
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$172.98 / $189.80 / $306.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00