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South Carolina rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.21 / $2,284.80 / $9,062.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.26 / $4,952.66 / $8,588.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $608.79 / $2,581.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.88 / $60.88 / $60.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.21 / $600.04 / $971.83
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.48 / $93.10 / $136.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00