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South Carolina rates for HCPCS 28400

Closed Tx Calcaneal Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.47 / $455.67 / $9,062.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$198.94 / $213.89 / $499.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.76 / $255.44 / $509.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.47 / $435.63 / $711.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.23 / $267.91 / $440.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.80 / $375.00 / $580.00
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$275.81 / $275.81 / $275.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.09 / $315.41 / $551.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.61 / $321.30 / $530.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.57 / $205.33 / $354.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.16 / $1,122.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.64 / $271.20 / $571.92