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South Carolina rates for HCPCS 28171

Rad Rescj Tumor Tarsal Except Talus/Calcaneus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.27 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.40 / $1,139.34 / $1,310.02
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
$895.00 / $1,034.69 / $1,591.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.83 / $1,174.80 / $2,443.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.89 / $1,113.90 / $2,427.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $795.14 / $1,466.40
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
$806.06 / $1,042.96 / $2,498.44