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South Carolina rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.51 / $2,409.48 / $11,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.14 / $528.88 / $860.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.50 / $507.50 / $507.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.63 / $4,952.66 / $8,656.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.01 / $534.21 / $797.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $729.27 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.55 / $649.78 / $1,158.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.31 / $669.00 / $1,105.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $384.18 / $749.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.55 / $633.88 / $1,302.23