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South Carolina rates for HCPCS 25680

Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,025.60 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $407.38 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $501.19 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,148.15
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
$407.38 / $524.81 / $831.76