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South Carolina rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,120.11 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,258.93