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South Carolina rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.41 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $190.36 / $232.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.88 / $209.88 / $209.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.64 / $409.97 / $687.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $185.52 / $297.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $197.81 / $302.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.42 / $256.17 / $433.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.52 / $247.35 / $424.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $171.53 / $298.91
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
$159.66 / $209.44 / $448.37