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South Carolina rates for HCPCS 28104

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $6,025.60 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,570.88 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $602.56 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.26 / $60.26 / $60.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $575.44 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $16,982.44