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South Carolina rates for HCPCS 25624

Closed treatment of carpal scaphoid (navicular) fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $6,025.60 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,047.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $588.84 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $758.58