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South Carolina rates for HCPCS 25800

Arthrodesis Wrist Complete W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.06 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,714.49 / $19,041.73 / $34,283.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $835.85 / $7,845.21
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.88 / $82.88 / $82.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.15 / $1,018.37 / $1,602.92
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.75 / $154.84 / $214.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,766.00 / $17,146.00 / $24,729.00