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South Carolina rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $111.22 / $164.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.64 / $117.59 / $199.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $149.90 / $256.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.30 / $117.30 / $117.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $76.04 / $152.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $120.23 / $246.75