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South Carolina rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.23 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.26 / $757.86 / $1,056.03
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
$704.65 / $815.34 / $1,379.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $833.15 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.95 / $911.08 / $1,597.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.72 / $965.10 / $1,625.04
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
$75.30 / $534.08 / $976.31
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
$613.52 / $804.76 / $1,618.38