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South Carolina rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.48 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.95 / $1,083.79 / $2,069.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,821.65 / $19,041.73 / $34,857.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.22 / $1,063.52 / $1,714.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.95 / $1,255.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.64 / $1,258.26 / $2,242.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.65 / $1,330.01 / $2,065.81
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
$112.17 / $747.77 / $1,374.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.80 / $1,034.31 / $2,321.65