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South Carolina rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $171.27 / $235.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $166.91 / $243.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.38 / $220.83 / $388.42
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 / $148.85 / $266.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $187.33 / $412.30