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South Carolina rates for HCPCS 28450

Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.08 / $2,317.50 / $9,727.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$165.06 / $181.96 / $432.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.18 / $219.21 / $336.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.44 / $250.44 / $250.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.64 / $429.29 / $711.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.32 / $219.07 / $369.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $210.80 / $328.64
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.05 / $230.05 / $230.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.15 / $270.88 / $468.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.08 / $273.24 / $464.41
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 / $160.15 / $274.23
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
$172.24 / $229.84 / $486.90