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South Carolina rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.08 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.12 / $406.64 / $537.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.71 / $5,547.92 / $8,656.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.95 / $445.72 / $754.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.85 / $521.14 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.17 / $487.76 / $862.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.08 / $522.00 / $831.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.42 / $447.42 / $447.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $311.29 / $571.46
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
$364.86 / $474.32 / $1,004.05