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South Carolina rates for HCPCS 28130

Talectomy (astragalectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,786.30 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,122.02