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South Carolina rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $371.54 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $489.78
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $371.54 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $478.63