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South Carolina rates for HCPCS 28304

Osteotomy Tarsal Bones Oth/Thn Calcaneus/Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.32 / $7,182.00 / $22,213.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.75 / $10,229.31 / $19,712.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $5,740.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.15 / $105.15 / $105.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.35 / $948.00 / $1,538.49
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.52 / $141.68 / $221.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,628.00 / $17,146.00 / $24,161.00