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South Carolina rates for HCPCS 28103

Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.79 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.14 / $388.31 / $583.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,634.28 / $11,250.27 / $19,712.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.05 / $618.00 / $1,086.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.04 / $580.00 / $8,583.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.64 / $582.97 / $863.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.67 / $605.27 / $907.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,697.97 / $6,697.97 / $6,697.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $303.37 / $545.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.52 / $453.88 / $953.76