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South Carolina rates for HCPCS 28114

Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $8,709.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,786.30 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.25 / $141.25 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $2,454.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $16,982.44