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South Carolina rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.11 / $8,960.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,565.74 / $18,600.65 / $34,857.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $904.29 / $7,305.36
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.96 / $1,081.00 / $1,672.33
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.65 / $151.34 / $221.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00