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South Carolina rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.56 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.90 / $390.44 / $464.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.07 / $4,369.78 / $8,045.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $364.15 / $535.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $580.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.59 / $457.10 / $842.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $445.00 / $770.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $255.56 / $517.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.18 / $383.43 / $874.63