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South Carolina rates for HCPCS 28515

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.23 / $512.40 / $9,062.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$123.73 / $220.85 / $327.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.35 / $162.19 / $218.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.47 / $388.34 / $656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $155.10 / $247.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $179.82 / $245.60
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$171.92 / $171.92 / $171.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.10 / $202.19 / $363.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.33 / $199.61 / $335.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $128.48 / $222.27
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
$129.78 / $170.52 / $378.14