go back

South Carolina rates for HCPCS 28304

Osteotomy, tarsal bones, other than calcaneus or talus;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $7,943.28 / $22,387.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $9,772.37 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.71 / $104.71 / $104.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96