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South Carolina rates for HCPCS 28305

Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.65 / $8,783.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.75 / $11,405.05 / $20,652.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $769.69 / $7,966.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.37 / $964.03 / $1,450.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00