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South Carolina rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $851.14 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $371.54 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $208.93 / $524.81
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $398.11 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $398.11 / $707.95
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
$251.19 / $323.59 / $512.86