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South Carolina rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.07 / $3,776.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,327.91 / $11,405.05 / $20,652.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $580.00 / $1,370.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.07 / $1,064.00 / $1,832.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00