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South Carolina rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.54 / $1,155.39 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.02 / $505.33 / $620.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.30 / $1,329.80 / $2,424.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.00 / $485.30 / $754.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $768.83 / $1,370.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.30 / $594.79 / $1,097.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $613.11 / $982.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $378.84 / $705.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.92 / $501.28 / $1,140.58