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South Carolina rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.61 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.07 / $650.62 / $907.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.08 / $316.08 / $316.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.81 / $5,095.07 / $8,656.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.07 / $775.95 / $1,332.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $711.98 / $7,275.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.41 / $870.63 / $1,532.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.61 / $841.00 / $1,400.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,291.51 / $6,291.51 / $6,291.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $484.31 / $860.34
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
$522.83 / $723.13 / $1,393.61