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South Carolina rates for HCPCS 28260

Capsulotomy, midfoot; medial release only (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.59 / $1,864.86 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.81 / $5,095.07 / $8,656.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $2,581.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$91.69 / $91.69 / $91.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.15 / $816.40 / $1,339.60
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$99.01 / $123.76 / $188.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00