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South Carolina rates for HCPCS 28475

Closed treatment of metatarsal fracture; with manipulation, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $380.19 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $208.93 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $537.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $426.58