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South Carolina rates for HCPCS 25628

Open Tx Carpal Scaphoid Navicular Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.15 / $4,438.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,956.60 / $9,627.46 / $17,744.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $823.94 / $5,740.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.69 / $81.69 / $81.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $953.00 / $1,579.29
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.84 / $133.41 / $210.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00