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South Carolina rates for HCPCS 28120

Partial Excision Bone Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.88 / $4,034.80 / $12,075.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.81 / $5,044.83 / $8,656.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.64 / $1,130.00 / $2,581.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.14 / $803.26 / $1,270.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00