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South Carolina rates for HCPCS 28430

Closed Tx Talus Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.56 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$182.67 / $207.59 / $472.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.72 / $238.38 / $370.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.33 / $128.33 / $128.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.47 / $388.34 / $687.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.66 / $246.45 / $414.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $210.80 / $362.57
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$253.80 / $253.80 / $253.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.40 / $297.49 / $534.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.11 / $304.47 / $490.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $194.79 / $327.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.33 / $260.58 / $554.19