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South Carolina rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.53 / $8,783.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.87 / $844.52 / $966.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,866.56 / $6,304.45 / $10,605.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.10 / $959.00 / $1,686.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $840.32 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.00 / $980.97 / $1,632.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.30 / $999.20 / $1,618.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $523.12 / $970.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $807.92 / $1,947.42