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South Carolina rates for HCPCS 28555

Open Treatment Tarsal Bone Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.04 / $5,107.18 / $14,548.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,829.27 / $10,337.65 / $17,877.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $8,233.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.92 / $1,005.80 / $1,649.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00