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South Carolina rates for HCPCS 28555

Open treatment of tarsal bone dislocation, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $7,244.36 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $10,000.00 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,417.38 / $25,703.96