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South Carolina rates for HCPCS 25830

Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $18,620.87 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,137.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,621.81