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South Carolina rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.63 / $3,159.40 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.76 / $344.13 / $506.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.81 / $5,095.07 / $8,588.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $374.74 / $544.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $452.86 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.13 / $421.69 / $746.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.63 / $465.83 / $760.61
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
$34.26 / $228.14 / $527.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,147.00 / $16,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.86 / $435.40 / $920.02