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South Carolina rates for HCPCS 28120

Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,073.80 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,786.30 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,584.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $16,982.44