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South Carolina rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.33 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.06 / $401.20 / $530.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,866.56 / $6,304.45 / $10,605.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $388.64 / $617.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.96 / $580.00 / $5,740.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.77 / $502.26 / $858.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $533.20 / $860.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,727.33 / $4,727.33 / $4,727.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $300.76 / $567.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $405.69 / $892.35